Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | D0059892 | MD |
NPI | 1013907450 |
---|---|
Provider Name | Dr. Mark P Downey |
First Address | Easton, MD 21601-8924 |
Second Address | Easton, MD 21601-2913 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2005 |
Last Update Date | 11/11/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100073450 | (05) | KY |
F0196 | (02) | PA |