Organization
STOUT CHIROPRACTIC CLINIC, P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY EUGENE STOUT D.C. (PRESIDENT)
(918) 786-8834
Entity
Organization
Contact information
Practice address
1107 E 13TH ST, SUITE A&B, GROVE, OK 74344-7955
(918) 786-8834
(918) 786-6520
Mailing address
PO BOX 6987, GROVE, OK 74344-6987
(918) 786-8834
(918) 786-6520
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3386
OK
Other
Enumeration date
11/03/2006
Last updated
08/22/2020
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