Individual
STEVEN M YOUNGBLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1523 SAINT CHARLES AVE, NEW ORLEANS, LA 70130-4445
(504) 374-1000
(504) 374-1350
Mailing address
1523 SAINT CHARLES AVE, NEW ORLEANS, LA 70130-4445
(504) 374-1000
(504) 374-1350
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200196
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1626970
—
LA
01
—
MD200196
STATE MEDICAL LICENSE
LA
Enumeration date
12/05/2005
Last updated
06/05/2024
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