Jared Stuckel

NPI #1114706116 in Boise, Idaho

Provider Information

NPI Number: 1114706116
Entity Type: Individual
Name: Jared Stuckel
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Enumeration Date: Sep 27, 2023
Last Updated: Sep 27, 2023

Practice Location

Address: 1390 S MAPLE GROVE RD
City: Boise
State: Idaho
ZIP Code: 83709-1610
Phone: (208) 672-0100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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