NPI 1215622642
Desiree C Stout
Practice location
- Address
- 7223 Mississippi Ave., Fort Polk, LA 71459
- Phone
- (337) 531-2603
- Mailing address
- 7223 Mississippi Ave, Fort Polk, LA 71459
Registered specialties (2)
Dental Assistant
Primary
Dental Hygienist
Registry record
- NPI
- 1215622642
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Apr 2023
- Record last updated
- 11 Apr 2023
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.