IndividualActive
Frederick Stucker, M.D.
NPI 1508890856 · Otolaryngology Physician · Shreveport, LA
Provider details
- NPI number
- 1508890856
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 05832R (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1501 Kings Hwy
Department of Otolaryngology
Shreveport, LA 71103-4228
Phone: (318) 813-2690
Fax: (318) 813-2692
Approximate (ZIP-level) locationGet directions
Mailing address
1501 Kings Hwy
Shreveport, LA 71103-4228
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2009-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.