Provider Demographics
NPI:1932698966
Name:STUCKI, JARED DANIEL (DO)
Entity type:Individual
Prefix:DR
First Name:JARED
Middle Name:DANIEL
Last Name:STUCKI
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Gender:M
Credentials:DO
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Mailing Address - Street 1:1490 E FOREMASTER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:SAINT GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-4496
Mailing Address - Country:US
Mailing Address - Phone:435-628-1641
Mailing Address - Fax:877-588-3498
Practice Address - Street 1:166 W 1325 N STE 200
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84721-7844
Practice Address - Country:US
Practice Address - Phone:352-630-5754
Practice Address - Fax:877-588-3498
Is Sole Proprietor?:No
Enumeration Date:2018-05-04
Last Update Date:2024-08-21
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Provider Licenses
StateLicense IDTaxonomies
UT13387518-1204208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery