Individual
DANIEL ORION YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1015 BOWLES AVE, FENTON, MO 63026-2394
(636) 496-2525
Mailing address
1015 BOWLES AVE, FENTON, MO 63026-2394
(636) 496-2525
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2008002675
MO
207R00000X
Internal Medicine Physician
22516
NE
207RN0300X
Nephrology Physician
2008002675
MO
208M00000X
Hospitalist Physician
Primary
2008002675
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208397505
—
MO
01
—
330454027
MEDICARE PTAN
MO
Enumeration date
03/26/2007
Last updated
12/01/2025
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