Individual
DR. EARL COURTNEY DOWNEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
241 N VINE ST APT 906E, 906E, SALT LAKE CITY, UT 84103-1926
(801) 891-2940
Mailing address
241 N VINE ST, 906E, SALT LAKE CITY, UT 84103-1962
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
48597921205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01076184B.
PHYSICIAN LICENSE
IN
05
—
D3887
—
UT
01
—
G45941
PHYSICIAN LICENSE
CA
01
—
TD151161
PHYSICIAN LICENSE
ME
Enumeration date
10/18/2006
Last updated
06/29/2016
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