BRYAN CLIFTON STOUT

CHICAGO, IL
NPI1871890129
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085003977)
Additional Taxonomies363A00000X Physician Assistant
(Licence: IN  10001402A)
Enumeration Date2011-02-23
Last Update Date2022-04-05
Business Address
BRYAN CLIFTON STOUT PA-C
7531 S STONY ISLAND AVE
CHICAGO, IL 60649-3954
Phone number: 773-947-7500
Mailing Address
BRYAN CLIFTON STOUT PA-C
7531 S STONY ISLAND AVE
CHICAGO, IL 60649-3954
Phone number: 773-947-7500