Individual
DR. WARREN J DOWNHOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O,
Contact information
Practice address
4700 N 51ST AVE, 6, PHOENIX, AZ 85031-1237
(623) 209-5555
(623) 247-1905
Mailing address
4700 N 51ST AVE, 6, PHOENIX, AZ 85031-1237
(623) 209-5555
(623) 247-1905
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34004028
OH
207Q00000X
Family Medicine Physician
Primary
4628
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000279843
ANTHEM
OH
05
—
0728001
—
OH
01
—
080195135
RAILROAD MEDICARE
OH
Enumeration date
05/19/2006
Last updated
04/29/2013
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