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Individual

MR. JOHN YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
2281 W 24TH ST, STE 10, YUMA, AZ 85364-6154
(928) 344-1656
(928) 344-5072
Mailing address
2281 W 24TH ST, STE 10, YUMA, AZ 85364-6154
(928) 344-1656
(928) 344-5072

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4298
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AZ0293620
BLUE CROSS OF AZ
AZ
01
P00229385
RAILROAD MEDICARE
AZ
Enumeration date
04/10/2006
Last updated
07/31/2007
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