Individual
DR. DONALD J. STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2304 NW 209TH ST, RIDGEFIELD, WA 98642-5214
(360) 887-0604
Mailing address
2304 NW 209TH ST, RIDGEFIELD, WA 98642-5214
(360) 887-0604
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003182
WA
Other
Enumeration date
04/09/2007
Last updated
07/09/2007
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