Individual
NICHOLAS JON DEYOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5058 E SOUTHERN AVE STE 102, MESA, AZ 85206-2771
(602) 222-1900
(480) 834-6181
Mailing address
77 E THOMAS RD STE 230, PHOENIX, AZ 85012-3100
(602) 222-1900
(602) 557-0002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
09/12/2022
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