Healthcare Provider Details

I. General information

NPI: 1164526851
Provider Name (Legal Business Name): ROBERT B DOWLING MA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 REXWOODS DR STE 100A
RALEIGH NC
27607
US

IV. Provider business mailing address

2301 REXWOODS DR STE 100A
RALEIGH NC
27607
US

V. Phone/Fax

Practice location:
  • Phone: 919-782-7112
  • Fax: 919-789-9560
Mailing address:
  • Phone: 919-782-7112
  • Fax: 919-789-9560

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number6908
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: