Provider Demographics
NPI:1306882360
Name:DOWNEY, DAVID ROBERT (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ROBERT
Last Name:DOWNEY
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 1:203 W PIONEER AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:HOMER
Mailing Address - State:AK
Mailing Address - Zip Code:99603-7527
Mailing Address - Country:US
Mailing Address - Phone:907-435-3070
Mailing Address - Fax:907-435-3079
Practice Address - Street 1:203 W PIONEER AVE STE 3
Practice Address - Street 2:
Practice Address - City:HOMER
Practice Address - State:AK
Practice Address - Zip Code:99603-7527
Practice Address - Country:US
Practice Address - Phone:907-435-3070
Practice Address - Fax:907-435-3079
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK7559207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1015173Medicaid
G84178Medicare UPIN
MT000083920Medicare ID - Type Unspecified