Individual
STEPHEN P YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
425 W GRAND AVE, STE. 1003, DAYTON, OH 45405-4775
(937) 226-7898
(937) 461-6038
Mailing address
425 W GRAND AVE, STE. 1003, DAYTON, OH 45405-4775
(937) 226-7898
(937) 461-6038
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
34002825
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0427738
—
OH
01
—
P00171437
RAILROAD MEDICARE
OH
Enumeration date
07/28/2005
Last updated
06/09/2010
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