Individual
EDWARD STOUT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
506 E 32ND ST, SILVER CITY, NM 88061-5908
(505) 388-8878
Mailing address
506 E 32ND ST, SILVER CITY, NM 88061-5908
(505) 388-8878
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
554
NM
Other
Enumeration date
12/31/2007
Last updated
12/31/2007
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