Individual
MARSHALL STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8212 SUMMA AVE, BATON ROUGE, LA 70809-3421
(225) 769-4403
Mailing address
8212 SUMMA AVE, BATON ROUGE, LA 70809-3421
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
06754
LA
Other
Enumeration date
02/20/2012
Last updated
02/20/2012
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