Individual
HEATHER STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
605 E HOLLAND AVE STE 101, SPOKANE, WA 99218-1246
(509) 838-2531
(509) 755-6580
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60436631
WA
363AM0700X
Medical Physician Assistant
Primary
PA60436631
WA
Other
Enumeration date
01/02/2014
Last updated
08/13/2015
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