# SHAUN D YOUNG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1538214515
- **Gender:** Man
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AM0700X | Medical Physician Assistant | 13016451-1206 | UT | Yes |
| 363AS0400X | Surgical Physician Assistant | PA18771 | CA | — |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 08/21/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | W17163 | MEDICARE GROUP NUMBER | — |
| 01 | — | WPA18771A | MEDICARE PROVIDER ID | — |