Healthcare Provider Details
I. General information
NPI: 1306809504
Provider Name (Legal Business Name): FRANK DOWNS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/10/2006
Last Update Date: 12/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1115 SOUTH MARSHALL STREET BOONE COUNTY FAMILY MEDICINE
BOONE IA
50036-5304
US
IV. Provider business mailing address
1115 SOUTH MARSHALL STREET
BOONE IA
50036-5304
US
V. Phone/Fax
- Phone: 515-432-2335
- Fax: 515-432-2357
- Phone: 515-432-2335
- Fax: 515-432-2357
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 19752 |
| License Number State | IA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: