Individual
IRINA PETERS STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
W3623
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
16437
ND
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
W3623
TX
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
16437
ND
Other
Enumeration date
04/18/2013
Last updated
02/25/2026
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