Individual provider · Type 1 NPI

Benton Real Stout, PHYSICIAN ASSISTANT

Physician Assistant · Riverside, CA

NPI number 1649508334 Active

Practice location

1850 Spring Garden St
Riverside, CA 92507-2050

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA20699 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1649508334

Benton Real Stout, PHYSICIAN ASSISTANT's National Provider Identifier is 1649508334, issued on Nov 18, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Riverside, CA. The record was last updated on Nov 18, 2009.