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Individual
RODNEY B. STOUT
Active
Individual
RODNEY B. STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
18824
WV
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35-06-8415
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000007375
ANTHEM BCBS
—
01
—
000000185216
UNISON MEDICAID #
OH
01
—
001714085
MOUNTAIN STATE BCBS
—
05
—
0087542000
—
WV
01
—
0157744
MOLINA MEDICAID #
OH
05
—
0157744
—
OH
01
—
310917085115
CARESOURCE MEDICAID #
OH
01
—
460001103
RR MEDICARE
OH
Enumeration date
06/16/2006
Last updated
12/29/2020
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