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Individual

DR. DAVID R STOUT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
225 S PINE ST, SUITE 200, SEYMOUR, IN 47274-2365
(812) 524-3333
(812) 524-3334
Mailing address
225 S PINE ST, SUITE 200, SEYMOUR, IN 47274-2365
(812) 524-3333
(812) 524-3334

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01027578
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000092363
ANTHEM
IN
Enumeration date
12/13/2005
Last updated
07/08/2007
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