Healthcare Provider Details

I. General information

NPI: 1730393265
Provider Name (Legal Business Name): ROBERT MILTON DOWNS SR. D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7400 MONTGOMERY BLVD NE SUITE 23
ALBUQUERQUE NM
87109-1591
US

IV. Provider business mailing address

5401 CANDLEGLOW DR NE
ALBUQUERQUE NM
87111-1612
US

V. Phone/Fax

Practice location:
  • Phone: 505-881-3165
  • Fax:
Mailing address:
  • Phone: 505-821-5731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number410
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: