Ra Stout LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

0138 Issued in AZ

Legal business name

RA STOUT LLC

Practice address

2930 N Country Club Rd
Tucson, AZ 85716-1912

Phone

(520) 320-1953

NPI assigned

Mar 29, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Reginald Allan Stout, OMD, LAC

Title

Owner

Phone

(520) 272-0905

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1669977609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7990 E SNYDER RD APT 2201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857509002",
            "telephone_number": "520-272-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 N COUNTRY CLUB RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857161912",
            "telephone_number": "520-320-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RA STOUT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-272-0905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OMD, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "0138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Acupuncturist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.