Provider Demographics
NPI:1548236805
Name:DOWNS, DAVID A JR (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:A
Last Name:DOWNS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:DAVID
Other - Middle Name:A
Other - Last Name:DOWNS
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:13985 W GRAND AVE
Mailing Address - Street 2:NORTHWEST VA HEALTH CARE CLINIC
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-3625
Mailing Address - Country:US
Mailing Address - Phone:623-251-2884
Mailing Address - Fax:623-398-6094
Practice Address - Street 1:13985 W GRAND AVE
Practice Address - Street 2:NORTHWEST VA HEALTH CARE CLINIC
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-3625
Practice Address - Country:US
Practice Address - Phone:623-251-2884
Practice Address - Fax:623-398-6094
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ335382084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ367231Medicaid
AZ367231Medicaid