Individual
DR. STEPHEN Y STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MAC LANE, AVERA MEDICAL GROUP PIERRE, PIERRE, SD 57501
(605) 224-7070
(605) 224-2514
Mailing address
100 MAC LANE, AVERA MEDICAL GROUP PIERRE, PIERRE, SD 57501
(605) 224-7070
(605) 224-5214
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1625
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6400402
—
SD
Enumeration date
02/28/2006
Last updated
05/24/2012
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