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Individual

DR. BRIAN JIMAR YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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