Stout, Mark Patrick

Stout, Mark Patrick is an individual health care provider with primary practice located at 18503 N Portland Ave , Edmond OK 73012-9149. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Stout, Mark Patrick can be contacted via phone (405) 531-4273.

Contact Information

Primary practice address
18503 N Portland Ave Edmond OK 73012-9149
Phone: (405) 531-4273
Fax: (405) 531-4274
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2208 Oklahoma

Profile Details

NPI number 1033456728
LBN Legal business name Stout, Mark Patrick
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2013
Last updated Mar 30th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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