Jon L Stucky (NPI# 1578611273, PAC ID# 4183642119) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1578611273 |
| PAC ID by PECOS | 4183642119 |
| Professional Enrollment ID | I20051108000388 |
| Full Name | Jon L Stucky |
| Address |
130 N 800 Hyrum UT 84319-1150 |
| Gender | M |
| Credential | DC |
| Medical School | LIFE CHIROPRACTIC COLLEGE |
| Graduation Year | 1993 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 130 N 800, Hyrum, UT 84319-1150 |
| Street Address |
130 N 800 |
| City | HYRUM |
| State | UT |
| Zip | 84319-1150 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy Bailey | Chiropractic | 30 E Main St, Hyrum, UT 84319-1310 |
| City | HYRUM |
| Zip Code | 84319 |
| Specialty | CHIROPRACTIC |
| City + Specialty | HYRUM + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.