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Individual
MR. STEPHEN KEITH YOUNG
Active
Individual
MR. STEPHEN KEITH YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
200860007CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
698498
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP118341
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75-0818167
TRICARE
TX
01
—
P01588716
RAIL ROAD MEDICARE
TX
Enumeration date
12/31/2007
Last updated
04/04/2016
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