Doctor Name: | DONALD GREGG DOWDY |
NPI Number: | 1043617459 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 10001741A |
Business Practice Address: | 1436 Locust St Terre Haute, IN - 478071648 |
Business Phone Number: | 8122327447 |
Business Fax Number: | |
Mailing Address: | 1436 Locust St, TERRE HAUTE |
State: | IN |
Postal Code: | 478071648 |
Phone Number: | 8122327447 |
Fax Number: | |
NPI Enumeration Date: | 12/01/2014 |
NPI Last Update Date: | 12/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 10001741A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |