MEDICARE: DR. EDWARD F DOWNEY 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	2085R0202X	Diagnostic Radiology Physician	117776	MO

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	:	1861400467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD F DOWNEY DO

Provider Business Mailing Address
First Line	:	16091 SWINGLEY RIDGE RD STE 100
Second Line	:
City	:	CHESTERFIELD
State	:	MO
Zip	:	63017-2056
Country	:	US
Telephone Number	:	314-238-5260
Fax Number	:	314-821-1833

Provider Business Practice Location Address
First Line	:	16091 SWINGLEY RIDGE RD STE 100
Second Line	:
City	:	CHESTERFIELD
State	:	MO
Zip	:	63017-2056
Country	:	US
Telephone Number	:	314-238-5260
Fax Number	:	314-821-1833

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

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	10/29/2020

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