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Individual
DR. TIMOTHY MARK STOUT
Active
Individual
DR. TIMOTHY MARK STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0429147
KS
207W00000X
Ophthalmology Physician
MD108395
MO
207W00000X
Ophthalmology Physician
MD68554
TN
207WX0107X
Retina Specialist (Ophthalmology) Physician
04-29147
KS
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
68554
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180041348
RAILROAD MEDICARE
—
01
—
180041349
RAILROAD MEDICARE
—
Enumeration date
08/23/2005
Last updated
07/31/2026
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