Jeffrey Bunker Stout
Interventional Cardiology Internist - Cardiovascular Disease
8060 Wolf River Blvd
Germantown
, Tennessee 38138-1727
Jeffrey Bunker Stout
Interventional Cardiology Internist - Cardiovascular Disease
8060 Wolf River Blvd
Germantown
, Tennessee 38138-1727
(901) 271-4187
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About
Features
Specialties
- Internist - Cardiovascular Disease
- Interventional Cardiology
Languages spoken
- English
Location
First Address
- Jeffrey Bunker Stout
- 8060 Wolf River Blvd
- Germantown, TN
- Zip : 38138-1727
- Fax : (901) 271-4187
- Phone : (901) 271-1000
Second Address
- Jeffrey Bunker Stout
- 8060 Wolf River Blvd
- Germantown, TN
- Zip : 38138-1727
- Fax : (901) 271-4187
- Phone : (901) 271-1000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0000X | Internist - Cardiovascular Disease | MD19835 | TN |
| Y | 207RI0011X | Interventional Cardiology | 19835 | TN |
National Provider Identifier
| NPI | 1063528198 |
|---|---|
| Provider Name | Jeffrey Bunker Stout |
| First Address | Germantown, TN 38138-1727 |
| Second Address | Germantown, TN 38138-1727 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/08/2006 |
| Last Update Date | 27/02/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3067323 | (05) | TN |
| 3125019 | BCBS TN (01) | TN |
| F26550 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.