JACOB STOUT

SOUTH SALT LAKE, UT
NPI1952037939
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  13593511-1206)
Enumeration Date2022-08-01
Last Update Date2023-11-01
Business Address
JACOB STOUT
2472 S 300 E
SOUTH SALT LAKE, UT 84115-2895
Phone number: 801-783-5011
Mailing Address
JACOB STOUT
1118 MOYLE DR
ALPINE, UT 84004-1200
Phone number:
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