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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SEAN CRAIG STOUT, MD

Active Sole Proprietor

SEAN CRAIG STOUT, MD is a Allergy & Immunology healthcare provider located in BOISE, Idaho. NPI 1417488131 is currently active in the NPPES registry. Verify at CMS.

Allergy & Immunology · BOISE, ID

Registration Details

NPI Number
1417488131
Provider Type
Individual
Gender
Male
NPI Issued
Mar 23, 2017 (9.4016396267063 yrs)
Last Updated
Mar 27, 2023
Licenses
2017021058 (MO)
2020009905 (MO)
M-16211 (ID)
Sole Proprietor
Yes

Practice Information

Address
901 N CURTIS RD STE 100
BOISE, ID, 837061339
Browse ID providers · Browse ZIP 83706
Phone
2083780080
Primary Specialty
Allergy & Immunology
207K00000X
Additional Specialty
Allergy & Immunology
Additional Specialty
Allergy & Immunology

Other Allergy & Immunology Providers in BOISE, ID

Name Credential NPI
MICHAEL V KEILEY MD 1679569149
JOHN D JEPPSON MD 1417943622
GEORGE WILLIAM PALMER MD 1033105259
DR. JEREMY DAVID WALDRAM M.D. 1396972311
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.