Individual
PATRICK EARL STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 2ND AVE SW, STE. 208, MIAMI, OK 74354-6743
(918) 540-7870
(918) 540-7394
Mailing address
5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 73112-5556
(918) 540-7870
(918) 540-7394
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
19779
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100044840A
—
OK
05
—
100270540A
—
KS
05
—
200468380S
—
OK
05
—
208578401
—
MO
Enumeration date
02/09/2006
Last updated
04/05/2017
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