Search › California › 363A00000X
Benton Stout, PHYSICIAN ASSISTANT
NPI 1649508334 · on the registry since 2009 · sole proprietor
Practice
- Address
- 1850 Spring Garden St
Riverside, CA 92507 - Phone
- (951) 544-9589
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-11-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California