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Jacob Stout
NPI 1952037939 · on the registry since 2022
Practice
- Address
- 2472 S 300 E
South Salt Lake, UT 84115 - Phone
- (801) 783-5011
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-11-01
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 Utah