Individual
SHAWN M STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 S FORD RD, ZIONSVILLE, IN 46077-1864
(317) 957-9270
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001338A
IN
363A00000X
Physician Assistant
99048634
IN
Other
Enumeration date
09/23/2011
Last updated
04/15/2025
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