MARK T STOUT

HERSHEY, PA
NPI1235188939
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: PA  MA000613L)
Enumeration Date2006-05-09
Last Update Date2007-07-08
Business Address
-- MARK T STOUT PA-C
500 UNIVERSITY DR
HERSHEY, PA 17033-2360
Phone number: 800-243-1455
Mailing Address
-- MARK T STOUT PA-C
PO BOX 854 MC A410
HERSHEY, PA 17033-0854
Phone number: 717-531-5995
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