Individual
DR. MICHAEL CLARENCE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 HALE AVE, PRESCOTT, AR 71857-3330
(870) 887-6651
(870) 887-2008
Mailing address
301 HALE AVE, PRESCOTT, AR 71857-3330
(870) 887-6651
(870) 887-2008
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
C4873
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080043829
GBA RAILROAD
AR
05
—
1124026836
—
AR
01
—
127720000
QUAL CHOICE
AR
Enumeration date
07/07/2005
Last updated
10/08/2009
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