Organization
RA STOUT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINALD ALLAN STOUT OMD, LAC (OWNER)
(520) 272-0905
Entity
Organization
Contact information
Practice address
2930 N COUNTRY CLUB RD, TUCSON, AZ 85716-1912
(520) 320-1953
Mailing address
7990 E SNYDER RD APT 2201, TUCSON, AZ 85750-9002
(520) 272-0905
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0138
AZ
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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