Individual
DARRELL J YOUNGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 689-9370
(316) 689-9363
Mailing address
PO BOX 2969, WICHITA, KS 67201-2969
(316) 689-9135
(316) 689-9769
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0322326
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003719302
MEDICARE
KS
05
—
100184900C
—
KS
05
—
100184900K
—
KS
01
—
120001354
RAILROAD MEDICARE
—
Enumeration date
04/07/2006
Last updated
04/05/2016
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