Individual
WILLIAM JOHN STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1401 E STATE STREET, ROCKFORD, IL 61104
(815) 968-4400
Mailing address
7007 POWERS BLVD, PARMA, OH 44129-5437
(440) 743-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003286
OH
Other
Enumeration date
07/10/2006
Last updated
07/24/2014
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