NPI 1033456728

Mark Patrick Stout, PAC

Practitioner Physician Assistant Edmond, OK

Practice location

Address: 18503 N Portland Ave, Edmond, OK 73012-9149
Phone: (405) 531-4273
Fax: (405) 531-4274

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 2208 (OK)

Other Physician Assistant providers in Oklahoma →

Registry record

NPI: 1033456728
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jan 2013
Record last updated: 30 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.