IndividualActive
Sean Stout, MD
NPI 1417488131 · Allergy & Immunology Physician · Boise, ID
Provider details
- NPI number
- 1417488131
- Entity type
- Individual
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2017021058 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
901 N Curtis Rd Ste 100
Boise, ID 83706-1339
Phone: (208) 378-0080
Approximate (ZIP-level) locationGet directions
Mailing address
901 N Curtis Rd Ste 100
Boise, ID 83706-1339
Registry dates
- Enumerated
- 2017-03-23
- Last updated
- 2023-03-27
- Certified
- 2023-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.