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Individual

DR. THOMAS E STOUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2400 HARTMAN LN, SPRINGFIELD, OR 97477-1118
(541) 334-3350
Mailing address
2400 HARTMAN LN, SPRINGFIELD, OR 97477-1118
(541) 334-3350

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD-213977
OR
208800000X
Urology Physician
MD-49696
IA
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
MD-49696
IA

Other

Enumeration date
04/12/2017
Last updated
01/30/2023
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