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Individual
ROGER YOUNG
Active
Individual
ROGER YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD2020-0253
NM
207R00000X
Internal Medicine Physician
Primary
MD214143
OR
208M00000X
Hospitalist Physician
13658C
WY
208M00000X
Hospitalist Physician
G61175
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G611750
—
CA
Enumeration date
11/03/2006
Last updated
02/10/2023
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