Marty D Stout

NPI #1821592080 in Temple Hills, Maryland

Provider Information

NPI Number: 1821592080
Entity Type: Individual
Name: Marty D Stout
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist - Prosthetics Case Management
Enumeration Date: Mar 22, 2018
Last Updated: Mar 22, 2018

Practice Location

Address: 2243 OXON HILL DR
City: Temple Hills
State: Maryland
ZIP Code: 20020
Phone: (202) 491-6819

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist - Prosthetics Case Management — Prosthetics Case Management	1744P3200X	Primary

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