Derek Stout, D.O.

NPI #1548376213 in Mattoon, Illinois

Provider Information

NPI Number: 1548376213
Entity Type: Individual
Name: Derek Stout, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: D.O.
Enumeration Date: Aug 22, 2006
Last Updated: Jan 8, 2019

Practice Location

Address: 1000 HEALTH CENTER DR
City: Mattoon
State: Illinois
ZIP Code: 61938-9261
Phone: (217) 258-2551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Emergency Medicine	207P00000X	Primary

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