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Individual

DR. PAUL WADE STOUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 N UNIVERSITY AVE, LITTLE ROCK, AR 72207-6347
(501) 663-4116
(501) 663-4301
Mailing address
PO BOX 55148, LITTLE ROCK, AR 72215-5148
(843) 664-4300
(843) 664-4308

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
C8471
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
135628001
AR
Enumeration date
02/24/2006
Last updated
04/30/2026
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