Individual
MARICARMEN STOUT SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1205 SE PROFESSIONAL MALL BLVD STE 104, PULLMAN, WA 99163-5423
(509) 332-2605
(509) 334-5754
Mailing address
840 SE BISHOP BLVD STE 101, PULLMAN, WA 99163-5502
(509) 332-6139
(509) 332-6579
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD60853005
WA
Other
Enumeration date
04/09/2015
Last updated
08/04/2025
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