Organization
SIBYL DOWNING LLC
Active
Parent organization
REVEAL WELLNESS AND MED SPA
Other names
Downing Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
REVEAL WELLNESS AND MED SPA
Authorized official
SIBYL DOWNING MD (OWNER)
(816) 273-6320
Entity
Organization
Contact information
Practice address
1918 N WOODBINE RD, SAINT JOSEPH, MO 64506
(816) 396-8855
(816) 396-6123
Mailing address
1918 N WOODBINE RD, SAINT JOSEPH, MO 64506
(816) 396-8855
(816) 396-6123
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093744948
NPI
—
Enumeration date
03/04/2020
Last updated
10/06/2023
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