MEDICARE: CARLA DOWDY P.A.

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	363A00000X	Physician Assistant	43864	MT

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	:	1740235423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLA DOWDY P.A.

Provider Business Mailing Address
First Line	:	PO BOX 46
Second Line	:
City	:	EKALAKA
State	:	MT
Zip	:	59324-0046
Country	:	US
Telephone Number	:	406-775-8738
Fax Number	:	406-775-6479

Provider Business Practice Location Address
First Line	:	215 SANDY STREET
Second Line	:
City	:	EKALAKA
State	:	MT
Zip	:	59324-0046
Country	:	US
Telephone Number	:	406-775-8738
Fax Number	:	406-775-6479

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

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	05/06/2016

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Directions to “ CARLA DOWDY P.A.” Practice Location

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