Organization
YOUNG MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL YOUNG FNP (PRESIDENT)
(870) 642-4730
Entity
Organization
Contact information
Practice address
1302 W COLLIN RAYE DR STE A, DE QUEEN, AR 71832-2588
(870) 642-4730
(870) 381-7273
Mailing address
1302 W COLLIN RAYE DR STE A, DE QUEEN, AR 71832-2588
(870) 642-4730
(870) 381-7273
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/11/2012
Last updated
06/05/2012
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