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

MR. JIMMY DALE STOUT, BA CHAPLAIN

Active Sole Proprietor

MR. JIMMY DALE STOUT, BA CHAPLAIN is a Specialist healthcare provider located in TUCSON, Arizona. NPI 1548303563 is currently active in the NPPES registry. Verify at CMS.

Specialist · TUCSON, AZ

Registration Details

NPI Number
1548303563
Provider Type
Individual
Gender
Male
NPI Issued
Feb 15, 2007 (19.519072029278 yrs)
Last Updated
Jun 20, 2014
Sole Proprietor
Yes

Practice Information

Address
8960 N AGATE PLACE
TUCSON, AZ, 85742
Browse AZ providers · Browse ZIP 85742
Phone
5202418608
Primary Specialty
Specialist
174400000X
Additional Specialty
Specialist

Other Specialist Providers in TUCSON, AZ

Name Credential NPI
DR. XAVIER MARTINEZ M.D. 1780688218
DR. THOMAS E NEWMAN M.D. 1497750442
DR. JOHN J. MCNERNEY JR. M.D. 1568469583
DR. ALAN REID BULLOCK MD 1033101712
DR. MINDY LEE POWELL MD 1083606305
RICHARD ALAN COHN MD 1184617193
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.