Individual
CHARLES EMMET STOUT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501-4135
(951) 338-4910
(833) 996-0004
Mailing address
700 E REDLANDS BLVD # 714, REDLANDS, CA 92373-6109
(951) 338-4910
(833) 996-0004
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A100577
CA
Other
Enumeration date
06/29/2007
Last updated
10/30/2023
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