Individual
DR. CARL N STOUT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4741 S COCHISE DR, DISCOVER VISION CENTERS, INDEPENDENCE, MO 64055-6974
(816) 478-1230
(816) 478-4413
Mailing address
4801 S CLIFF AVE, SUITE 100, INDEPENDENCE, MO 64055-7015
(816) 478-1230
(816) 478-4413
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0415510
KS
207W00000X
Ophthalmology Physician
Primary
MD32847
MO
Other
Enumeration date
08/23/2005
Last updated
12/06/2007
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