Individual
DANIEL TREVOR YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
74 E KIMBALLS LN STE 300, DRAPER, UT 84020-5009
(801) 572-0311
Mailing address
PO BOX 198560, ATLANTA, GA 30384-8560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10997332-1204
UT
Other
Enumeration date
07/13/2015
Last updated
11/30/2020
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