Provider Demographics
NPI:1922137231
Name:DOWNING, SAMUEL WILLIAM V (MD)
Entity type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:WILLIAM
Last Name:DOWNING
Suffix:V
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 10880
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86304-0880
Mailing Address - Country:US
Mailing Address - Phone:602-406-4786
Mailing Address - Fax:916-636-4358
Practice Address - Street 1:1001 DIVISION ST
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86301-1601
Practice Address - Country:US
Practice Address - Phone:928-775-5567
Practice Address - Fax:928-772-1522
Is Sole Proprietor?:No
Enumeration Date:2007-03-04
Last Update Date:2025-02-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ16298207QH0002X, 207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ280991Medicaid
AZ280991Medicaid
AZE83105Medicare UPIN