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Individual

DR. ROBERT P YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1760 N 200 E, STE 101, NORTH LOGAN, UT 84341
(435) 787-0560
Mailing address
1760 N 200 E, STE 101, NORTH LOGAN, UT 84341-1202
(435) 787-0560
(435) 752-4673

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
295172-1205
UT
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
295172-1205
UT
207NP0225X
Pediatric Dermatology Physician
295172-1205
UT
207NS0135X
Procedural Dermatology Physician
295172-1205
UT

Other

Enumeration date
05/27/2005
Last updated
08/18/2018
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