Individual
DANIEL GLENN STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 261-6480
Mailing address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD.201440
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1-50065-8
—
LA
Enumeration date
08/01/2007
Last updated
07/05/2023
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