Provider Demographics
NPI:1710060967
Name:DOWNEY, MARY ANN (PA-C)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:ANN
Last Name:DOWNEY
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:DUKE UNIVERSITY MEDICAL CTR
Mailing Address - Street 2:9300 HOSPITAL NORTH DUMC BOX 100903
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-0001
Mailing Address - Country:US
Mailing Address - Phone:919-681-2555
Mailing Address - Fax:919-681-7700
Practice Address - Street 1:DUKE UNIVERSITY MEDICAL CTR
Practice Address - Street 2:9300 DUKE HOSPITAL NORTH, DUMC BOX 100903
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-681-2555
Practice Address - Fax:919-681-7700
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2011-08-29
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Provider Licenses
StateLicense IDTaxonomies
NC1017272085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
S41189Medicare ID - Type Unspecified
NC2744289AMedicare ID - Type Unspecified