Individual
CHRISTOPHER LEE STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5433 W WALSH LN, ROGERS, AR 72758-8946
(479) 464-8346
Mailing address
5433 W WALSH LN, ROGERS, AR 72758-8946
(479) 464-8346
(479) 464-9046
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
56370
GA
2086S0129X
Vascular Surgery Physician
0101247398
VA
2086S0129X
Vascular Surgery Physician
Primary
E-14776
AR
Other
Enumeration date
05/12/2007
Last updated
10/12/2021
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