Provider Demographics
NPI:1801808969
Name:DOWNS, STANFORD W (MD)
Entity type:Individual
Prefix:
First Name:STANFORD
Middle Name:W
Last Name:DOWNS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:WAYNE
Other - Middle Name:
Other - Last Name:DOWNS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2741 DEBARR RD STE 413
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-2953
Mailing Address - Country:US
Mailing Address - Phone:907-277-1623
Mailing Address - Fax:907-277-1624
Practice Address - Street 1:2741 DEBARR RD STE 413
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-2953
Practice Address - Country:US
Practice Address - Phone:907-277-1623
Practice Address - Fax:907-277-1624
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKAA34602084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKMD1788Medicaid
F63459Medicare UPIN
AKMD1788Medicaid