Doctor Name: | DR. GLENN A DOWLING |
NPI Number: | 1508842402 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 0101235540 |
Business Practice Address: | 4102 Pinion Dr 10mdg Usaf Academy, CO - 808402502 |
Business Phone Number: | 3013511561 |
Business Fax Number: | |
Mailing Address: | 4102 Pinion Dr, 10mdg USAF ACADEMY |
State: | CO |
Postal Code: | 808402502 |
Phone Number: | 3013511561 |
Fax Number: | |
NPI Enumeration Date: | 12/21/2005 |
NPI Last Update Date: | 08/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0101235540 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |