Individual provider · Type 1 NPI

Charles Emmet Stout Jr., MD, PhD

Vascular & Interventional Radiology Physician · Riverside, CA

NPI number 1679770994 Active

Practice location

4445 Magnolia Ave
Riverside, CA 92501-4135

Call (951) 338-4910 Map

Fax (833) 996-0004

Mailing address

700 E Redlands Blvd # 714
Redlands, CA 92373-6109

Specialties and licenses

TaxonomyCodeLicense
Vascular & Interventional Radiology Physician Primary 2085R0204XA100577 (CA)

Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

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About NPI 1679770994

Charles Emmet Stout Jr., MD, PhD's National Provider Identifier is 1679770994, issued on Jun 29, 2007. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Riverside, CA. The record was last updated on Oct 30, 2023.