Ra Stout LLC
Acupuncturist in Tucson, AZ. Organization (NPI-2).
NPI number1669977609
StatusActive
Last updated in NPPESMar 29, 2018
Details
- NPI
- 1669977609
- Entity type
- Organization (NPI-2)
- Legal business name
- Ra Stout LLC
- Organization subpart
- No
- Enumeration date
- Mar 29, 2018
- Last updated
- Mar 29, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | 0138 | AZ | Yes |
Practice location
2930 N Country Club RdTucson, AZ 85716-1912
Phone 520-320-1953
Mailing address
7990 E Snyder Rd Apt 2201Tucson, AZ 85750-9002
Phone 520-272-0905
Authorized official
Reginald Allan Stout
Owner
5202720905
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