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Individual
DR. JEFFERY DANNY YOUNG
Active
Individual
DR. JEFFERY DANNY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
042.0012718
VT
207W00000X
Ophthalmology Physician
105029
MN
207W00000X
Ophthalmology Physician
53520
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
01
—
P0886903
MEDICARE, RAILROAD
MN
Enumeration date
04/06/2009
Last updated
07/29/2013
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