Individual
DOUGLAS TRENT YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2845 SIENA HEIGHTS DR, HENDERSON, NV 89052-4153
(702) 617-1227
(702) 492-1589
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 242-7786
(702) 240-8790
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA636
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002402368
—
NV
05
—
1003889577
—
NV
Enumeration date
02/07/2006
Last updated
02/14/2014
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