Individual
ALYSON STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
516 W MCCORD ST, NEOSHO, MO 64850-1424
(417) 451-0977
Mailing address
809 NEOSHO HEIGHTS CIR, NEOSHO, MO 64850-1109
(417) 592-6278
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2015017864
MO
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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