| NPI | 1922070101 |
|---|---|
| Other Name | TROY STUCKER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: KS 1501122) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MO 2006001741) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2007-12-20 |