Provider Demographics
NPI:1881664480
Name:STOCKS, ALTON L (MD)
Entity Type:Individual
Prefix:DR
First Name:ALTON
Middle Name:L
Last Name:STOCKS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 817
Mailing Address - Street 2:BOX 2461
Mailing Address - City:FPO
Mailing Address - State:AE
Mailing Address - Zip Code:09622
Mailing Address - Country:IT
Mailing Address - Phone:01139081-568-4519
Mailing Address - Fax:
Practice Address - Street 1:PSC 817
Practice Address - Street 2:BOX 2461
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:09622
Practice Address - Country:IT
Practice Address - Phone:01139081-568-4519
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101042159208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics