Individual
DR. EVAN J STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
450 5TH AVE SW, MAGEE, MS 39111-3960
(601) 849-5004
Mailing address
710 MAIN ST, SUITE 20, COLLINS, MS 39428-6292
(601) 837-5102
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
859
MS
Other
Enumeration date
09/06/2012
Last updated
10/31/2016
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