Individual
DR. AMANDA E YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
116 E 11TH ST, SUITE 101, SPENCER, IA 51301-4364
(712) 264-3500
(712) 264-3535
Mailing address
116 E 11TH ST, SUITE 101, SPENCER, IA 51301-4364
(712) 264-3500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R-7908
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366553893
—
IA
Enumeration date
08/31/2006
Last updated
07/31/2009
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