MEDICARE: BRADLEY C DOWNING DO

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
1	207Q00000X	Family Medicine Physician	1620	AZ

Other Identifiers

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

General Provider Information

NPI Number	:	1164414116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRADLEY C DOWNING DO

Provider Business Mailing Address
First Line	:	9061 E BASELINE RD
Second Line	:	STE B101
City	:	MESA
State	:	AZ
Zip	:	85209-7761
Country	:	US
Telephone Number	:	480-926-3233
Fax Number	:	480-889-8310

Provider Business Practice Location Address
First Line	:	9061 E BASELINE RD
Second Line	:	STE B101
City	:	MESA
State	:	AZ
Zip	:	85209-7761
Country	:	US
Telephone Number	:	480-926-3233
Fax Number	:	480-889-8310

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	01/03/2012

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