Individual
DR. BRIAN JIMAR YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 W. ESPLANADE AVENUE, KENNER, LA 70065-2489
(504) 464-8588
(504) 988-6808
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
(504) 988-6808
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.203209
LA
208000000X
Pediatrics Physician
PGY.1.TUL-PEDS
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05378041
—
MS
05
—
1003085
—
LA
Enumeration date
11/14/2007
Last updated
03/03/2011
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