Individual
HEATHER YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10280 W 55TH AVE, ARVADA, CO 80002-4925
(303) 914-6048
Mailing address
PO BOX 505673, SAINT LOUIS, MO 63150-5673
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2024009565
MO
Other
Enumeration date
10/05/2023
Last updated
10/01/2024
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