Mark E Stuckey, D.C. Valid NPI
Individual provider · Chiropractor · O Fallon, MO
- NPI
- 1386692234
- Type
- Individual (Type 1)
- Primary specialty
- Chiropractor
- Specialty group
- Chiropractic Providers
- Taxonomy code
- 111N00000X
- License number
- MO005338 (MO)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-05-04
- Last updated
- 2012-11-30
Practice location
109 Church St
O Fallon, MO 63366-2894
(636) 240-2225