Organization
CARL D. OUTEN, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL D OUTEN MD,PC (PRESIDENT)
(804) 794-1334
Entity
Organization
Contact information
Practice address
605 N COURTHOUSE RD, STE 101, RICHMOND, VA 23236-4068
(804) 794-1334
(804) 794-3927
Mailing address
605 N COURTHOUSE RD, STE 101, RICHMOND, VA 23236-4068
(804) 794-1334
(804) 794-3927
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101031359
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006359523
—
VA
Enumeration date
09/20/2006
Last updated
07/19/2010
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