Individual
IZAAK GRANT DOWNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
7010 E BOGARD RD, WASILLA, AK 99654-4711
(907) 373-4732
Mailing address
PO BOX 876741, WASILLA, AK 99687-6741
(907) 373-4732
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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