MEDICARE: DILLON ALEXANDER STANFIELD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	35.147160	OH
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1568965473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DILLON ALEXANDER STANFIELD MD

Provider Business Mailing Address
First Line	:	52 UNIT 3690 BOX MDG
Second Line	:
City	:	APO
State	:	AE
Zip	:	09126-3690
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	52 UNIT 3690 BOX MDG
Second Line	:
City	:	APO
State	:	AE
Zip	:	09126-3690
Country	:	US
Telephone Number	:	656-561-8333
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2018
Last Update Date	:	12/08/2025

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