Most Relevant Information
Provider Data
| NPI Number: | 1003668476 |
| Provider Name: | DIRK ALAN STANFIELD MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/01/2024 |
| Last Updated: | 04/01/2024 |
Provider Practice Location
750 E ADAMS ST
SYRACUSE
NY
132101834
Practice Location Phone/Fax
| Phone: | 8774645540 |
| Fax: |
Provider Mailing Location
2810 CHURCH ST
NORFOLK
VA
235041616
Provider Mailing Phone/Fax
| Phone: | 4046253221 |
| Fax: |