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Individual
TYLER JAMES YOUNG
Active
Individual
TYLER JAMES YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
57.255994
OH
208000000X
Pediatrics Physician
57.255994
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35.156148
STATE MEDICAL LICENSE
OH
Enumeration date
03/18/2024
Last updated
07/07/2026
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