Individual
DR. MARK E YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
430 4TH AVE STE 3, SIDNEY, OH 45365-1100
(937) 492-7797
(937) 710-9040
Mailing address
430 4TH AVE STE 3, SIDNEY, OH 45365-1100
(937) 492-7797
(937) 710-9040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3583349
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000305508
ANTHEM BCBS
—
05
—
2435930
—
OH
Enumeration date
09/06/2006
Last updated
10/28/2020
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