Individual
DR. JOHN MATTHEW YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
260 SOUTH CODY ROAD, MOBILE, AL 36695
(251) 344-8588
(251) 344-8985
Mailing address
260 SOUTH CODY ROAD, MOBILE, AL 36695
(251) 344-8588
(251) 344-8985
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1101
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51070922
BLUE CROSS BLUE SHIELD
AL
Enumeration date
03/26/2008
Last updated
03/26/2008
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