Individual
PETER S YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10815 W MCDOWELL RD STE 305, AVONDALE, AZ 85392-5016
(623) 936-3312
(623) 936-4248
Mailing address
3815 E BELL RD, STE 2200, PHOENIX, AZ 85032-2139
(602) 633-3848
(602) 633-3841
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26395
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110222436
RAILROAD MEDICARE
—
Enumeration date
07/22/2005
Last updated
04/18/2019
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