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Individual

MARK R. YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1500 S 48TH ST STE 610, LINCOLN, NE 68506-1200
(402) 493-3712
(402) 493-8341
Mailing address
1500 S 48TH ST STE 610, LINCOLN, NE 68506-1200
(402) 493-3712
(402) 493-8341

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
21253
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1103
BCBS
05
47082854000
NE
Enumeration date
12/14/2005
Last updated
12/20/2011
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