Individual
DR. CARL WAYNE DOWDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4040 POSTAL DR, ROANOKE, VA 24018-6438
(540) 772-4453
(540) 772-4717
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5715
(540) 224-5684
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101275442
VA
208000000X
Pediatrics Physician
52895
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52895
MEDICAL LICENSE
KY
Enumeration date
04/09/2015
Last updated
08/18/2022
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