Individual
JAMES STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7438 S D AVE, CONCRETE, WA 98237-9642
(360) 853-8183
Mailing address
7438 S D AVE, CONCRETE, WA 98237-9642
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60732866
WA
Other
Enumeration date
12/28/2016
Last updated
03/27/2017
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