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Individual
DAVID C STOUT
Active
Individual
DAVID C STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
14328
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115125
—
MS
01
—
130011551
RAILROAD MEDICARE
MS
01
—
640507572AV
AMERICAN ADMIN GROUP
MS
Enumeration date
08/29/2006
Last updated
10/21/2021
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