Individual
MR. JAMES A YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1044 SW 44TH ST, STE 600, OKLAHOMA CITY, OK 73109-3613
(405) 631-4263
Mailing address
PO BOX 270126, OKLAHOMA CITY, OK 73137-0126
(405) 775-9350
(405) 775-9360
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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