Healthcare Provider Details

I. General information

NPI: 1659286029
Provider Name (Legal Business Name): WILLIAM DAVID DOWNS III C.S.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 HIGH ST
LEWISTON ME
04240-7616
US

IV. Provider business mailing address

37 EVERGREEN LN
DURHAM ME
04222-5463
US

V. Phone/Fax

Practice location:
  • Phone: 207-795-2451
  • Fax:
Mailing address:
  • Phone: 207-522-8762
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZS0410X
TaxonomySurgical Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: