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NPI Code Detail

MEDICARE: STEPHEN DYER DOWNS M.D.

MEDICARE: STEPHEN DYER DOWNS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician12683RLA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750389516
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN DYER DOWNS M.D.
Provider Business Mailing Address
First Line : 2495 SHREVEPORT HWY
Second Line :
City : PINEVILLE
State : LA
Zip : 71360-4044
Country : US
Telephone Number : 318-473-0010
Fax Number :
Provider Business Practice Location Address
First Line : 2495 SHREVEPORT HWY
Second Line :
City : PINEVILLE
State : LA
Zip : 71360-4044
Country : US
Telephone Number : 318-473-0010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2005
Last Update Date : 08/18/2025

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