Provider Demographics
NPI:1134313125
Name:CAAMANO STANSFIELD, ERYN AMALIA (MD, MOH)
Entity Type:Individual
Prefix:DR
First Name:ERYN
Middle Name:AMALIA
Last Name:CAAMANO STANSFIELD
Suffix:
Gender:F
Credentials:MD, MOH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7238 6TH ST BLDG 249
Mailing Address - Street 2:
Mailing Address - City:HILL AFB
Mailing Address - State:UT
Mailing Address - Zip Code:84056-5213
Mailing Address - Country:US
Mailing Address - Phone:801-231-9559
Mailing Address - Fax:
Practice Address - Street 1:7238 6TH ST BLDG 249
Practice Address - Street 2:
Practice Address - City:HILL AFB
Practice Address - State:UT
Practice Address - Zip Code:84056-5213
Practice Address - Country:US
Practice Address - Phone:801-231-9559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-01
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA233786174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist