John William Stout
Student in an Organized Health Care Education/Training Program in Wilkes Barre, PA. Individual provider (NPI-1).
NPI number1669293221
StatusActive
Last updated in NPPESOct 17, 2024
Details
- NPI
- 1669293221
- Entity type
- Individual (NPI-1)
- Name
- John William Stout
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 17, 2024
- Certification date
- Oct 17, 2024
- Last updated
- Oct 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
133 N River StWilkes Barre, PA 18711-0801
Phone 570-208-5900
Mailing address
133 N River StWilkes Barre, PA 18711-0801
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All 150 Student in an Organized Health Care Education/Training Program providers in Wilkes Barre · All 2,978 providers in Wilkes Barre
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