Provider Demographics
NPI:1184432908
Name:DOWIL, MADELINE ALICE
Entity type:Individual
Prefix:
First Name:MADELINE
Middle Name:ALICE
Last Name:DOWIL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 ROCK CREST DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63090-6700
Mailing Address - Country:US
Mailing Address - Phone:636-266-8947
Mailing Address - Fax:
Practice Address - Street 1:3200 ROCK CREST DR
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:MO
Practice Address - Zip Code:63090-6700
Practice Address - Country:US
Practice Address - Phone:636-266-8947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-26
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program