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Individual

CHRISTOPHER T YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
401 KAMOKILA BLVD, KAPOLEI, HI 96707-5607
(808) 432-3600
Mailing address
401 KAMOKILA BLVD, KAPOLEI, HI 96707-5607
(808) 432-3600

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-15888
HI
207Q00000X
Family Medicine Physician
MD00035371
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0128731
LABOR AND INDUSTRIES
WA
01
5656031
AETNA
WA
05
8240962
WA
01
8933860
L&I CVC
WA
01
930079971
MEDICARE RAILROAD
WA
01
YO6417
REGENCE RIDER
WA
Enumeration date
12/18/2006
Last updated
08/25/2021
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