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Individual

STEPHEN M DOWNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1001 W 10TH ST, INDIANAPOLIS, IN 46202-2859
(317) 808-0573
Mailing address
250 N SHADELAND AVE, SUITE 130 - PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
(317) 963-7917
(317) 962-6714

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01055195A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200356940
IN
Enumeration date
04/27/2006
Last updated
07/29/2014
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