Healthcare Provider Details

I. General information

NPI: 1992732739
Provider Name (Legal Business Name): DUANE M STILLIONS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2006
Last Update Date: 06/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 23RD ST NW STE 6167 GWU OFFICE OF GRADUATE MEDICAL EDUCATION
WASHINGTON DC
20037-2342
US

IV. Provider business mailing address

2150 PENNSYLVANIA AVE NW THE GW MEDICAL FACULTY ASSOCIATES
WASHINGTON DC
20037-3201
US

V. Phone/Fax

Practice location:
  • Phone: 202-994-3737
  • Fax:
Mailing address:
  • Phone: 202-741-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberMD035118
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: