Alyssa M Stout

NPI #1083596019 in Fayetteville, Arkansas

Provider Information

NPI Number: 1083596019
Entity Type: Individual
Name: Alyssa M Stout
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jul 22, 2025
Last Updated: Jul 22, 2025

Practice Location

Address: 1125 N COLLEGE AVE
City: Fayetteville
State: Arkansas
ZIP Code: 72703-1908
Phone: (870) 404-9571

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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