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Individual

DR. THOMAS A STOUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
3000 HAMPTON CTR, STE A, MORGANTOWN, WV 26505-1708
(304) 598-2020
(304) 598-2024
Mailing address
3000 HAMPTON CTR, STE A, MORGANTOWN, WV 26505-1708
(304) 598-2020
(304) 598-2024

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
WV 719 OD
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0150667000
WV
01
244618
MAMSI
WV
01
410000097
PALMETTO
WV
Enumeration date
06/16/2005
Last updated
11/02/2011
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