Individual provider · Type 1 NPI

Timothy Ray Stout

Student in an Organized Health Care Education/Training Program · Tulsa, OK

NPI number 1174307250 Active

Practice location

9119 S 90th East Ave
Tulsa, OK 74133-5607

Call (918) 693-0161 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174307250

Timothy Ray Stout's National Provider Identifier is 1174307250, issued on Aug 21, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tulsa, OK. The record was last updated on Aug 21, 2023.