Organization
STEVEN YOUNGBLOOD MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN MICHAEL YOUNGBLOOD M.D. (PRESIDENT/OWNER)
(985) 209-3410
Entity
Organization
Contact information
Practice address
5467 W PARK AVE, APT 239, HOUMA, LA 70364-1364
(985) 209-3410
Mailing address
PO BOX 1027, HOUMA, LA 70361-1027
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1626970
—
LA
Enumeration date
02/25/2010
Last updated
09/03/2011
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