Individual
EVAN RAY STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 S INGRAM AVE, SEDALIA, MO 65301-8121
(660) 826-5890
(660) 826-4802
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 882-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2016023793
MO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
2016023793
MO
Other
Enumeration date
04/08/2011
Last updated
03/17/2018
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