Robert Troy Stucker in Overland Park - Surgical

Robert Troy Stucker - NPI 1922070101

Robert Troy Stucker is a Surgical in Overland Park, Kansas. Robert Troy Stucker practices all healthcare services and medical treatments related to Surgical. The NPI Number for Robert Troy Stucker is 1922070101. The last update date is 2007-12-20.

Robert Troy Stucker's current location address is 10701 Nall Ave, Overland Park, Kansas. You can contact this provider via phone number 9133815225 and fax number 9139010186. The mailing address for Robert Troy Stucker is 10701 Nall Ave, Overland Park, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert Troy Stucker
Address 10701 Nall Ave, Overland Park, Kansas
Phone Number 9133815225
Fax Number 9139010186
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1922070101
Provider Enumeration Date 2006-02-02
Last Updated Date 2007-12-20

Provider Mailing Address Detail

Address 10701 Nall Ave
City Overland Park
State Kansas (KS)
Post Code 662111231
Phone Number 9133815225
Fax Number 9139010186

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No 1501122
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00401009 MO MEDICARE-RR
P00416360 KS MEDICARE-RR

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FAQs about Robert Troy Stucker

What is the Robert Troy Stucker's unique identification number?

The Robert Troy Stucker has been assigned the NPI (National Provider Identifier) Number 1922070101 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Robert Troy Stucker is located?

The Robert Troy Stucker is situated at the following address: 10701 Nall Ave, Overland Park, KS, 662111231.

What is the area of specialization for Robert Troy Stucker, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Robert Troy Stucker is Surgical, and the corresponding taxonomy code that categorizes this area of expertise is 363As0400X.

On what date did Robert Troy Stucker receive its 1922070101 assignment from the Centers for Medicare & Medicaid Services?

The Robert Troy Stucker was assigned its 1922070101 on 2006-02-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Robert Troy Stucker most recently updated or refreshed?

The details pertaining to the Robert Troy Stucker, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-12-20.

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