Individual
ROBERT C STOUT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 GARFIELD AVE, PARKERSBURG, WV 26101-5340
(304) 424-2111
(904) 346-0113
Mailing address
PO BOX 75113, BALTIMORE, MD 21275-5113
(304) 422-1666
(904) 346-0113
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
15561
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0041847000
—
WV
01
—
0108654
OHIO MEDICAID
OH
01
—
1036956
WV WORK COMP
WV
Enumeration date
06/14/2006
Last updated
07/09/2007
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