Individual
MIKE DOWNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6 MANDALAY DR, BALLWIN, MO 63021-5522
(636) 227-5297
Mailing address
6 MANDALAY DR, BALLWIN, MO 63021-5522
(636) 227-5297
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
073583
MO
Other
Enumeration date
11/04/2005
Last updated
02/02/2011
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