Individual
DR. COLIN RAYMOND YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-1111
Mailing address
2536 SEVEN KINGS RD, VIRGINIA BEACH, VA 23456-7826
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
56570
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56570
MEDICAL LICENSE
CT
Enumeration date
05/17/2010
Last updated
06/17/2020
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