Organization
FOREVER YOUNG MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN B YOUNG CRNA (OWNER)
(801) 698-9230
Entity
Organization
Contact information
Practice address
6322 S 3000 E STE 170, SALT LAKE CITY, UT 84121-7290
(801) 513-3223
Mailing address
PO BOX 1385, IDAHO FALLS, ID 83403-1385
(208) 525-2090
(208) 523-8978
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
03/15/2022
Last updated
03/21/2022
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