Anthony Paul Puckett

NPI #1912406711 in Excelsior, Minnesota

Provider Information

NPI Number: 1912406711
Entity Type: Individual
Name: Anthony Paul Puckett
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Enumeration Date: Feb 7, 2018
Last Updated: Feb 7, 2018

Practice Location

Address: 23505 SMITHTOWN RD STE 100
City: Excelsior
State: Minnesota
ZIP Code: 55331-4542
Phone: (952) 470-8555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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