Individual
DR. VESTA D MCDOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
14300 GALLANT FOX LN STE 201, BOWIE, MD 20715-4033
(301) 352-7756
(301) 352-7725
Mailing address
PO BOX 624, BOWIE, MD 20718-0624
(301) 352-7756
(301) 352-7725
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
P29611
MD
213ES0131X
Foot Surgery Podiatrist
PO415
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010235300
—
DC
05
—
413635700
—
MD
01
—
480007024
RR MEDICARE
MD
Enumeration date
02/24/2006
Last updated
10/31/2018
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