Individual
CLAY YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1801 W 40TH AVE, 2B, PINE BLUFF, AR 71603-6940
(870) 535-7457
(870) 535-2522
Mailing address
PO BOX 1272, PINE BLUFF, AR 71613-1272
(870) 535-7457
(870) 535-2522
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R083778
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
C003102
AR
Other
Enumeration date
05/01/2015
Last updated
07/31/2015
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