Dr Jared Daniel Stucki, DO | |
166 W 1325 N Ste 200, Cedar City, UT 84721-7844 | |
(352) 630-5754 | |
(877) 588-3498 |
Full Name | Dr Jared Daniel Stucki |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 166 W 1325 N Ste 200, Cedar City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932698966 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 13387518-1204 (Utah) | Primary |
Entity Name | Utah Surgical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851450720 PECOS PAC ID: 4486686698 Enrollment ID: O20050908000912 |
Mailing Address | Practice Location Address |
---|---|
Dr Jared Daniel Stucki, DO 1490 E Foremaster Dr Ste 200, Saint George, UT 84790-4496 Ph: (435) 628-1641 | Dr Jared Daniel Stucki, DO 166 W 1325 N Ste 200, Cedar City, UT 84721-7844 Ph: (352) 630-5754 |
Dr. Michael I Munford, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1251 Northfield Rd, Ste 202, Cedar City, UT 84721 Phone: 435-867-0300 Fax: 435-867-0331 | |
Michael G Stults, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 166 W 1325 N, #350, Cedar City, UT 84720 Phone: 435-586-8192 | |
Trevor Day, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 166 W 1325 N, Cedar City, UT 84721 Phone: 435-628-1660 |