Individual
MR. JAMES A YOUNG
Active
Individual
MR. JAMES A YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0022980
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100783950B
—
OK
01
—
731092249
MEDICARE RR
OK
Enumeration date
09/07/2005
Last updated
10/30/2014
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