Individual
THOMAS P YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1700 W TOWNLINE ST, SUITE 1, CRESTON, IA 50801-1054
(641) 782-6440
(641) 782-6515
Mailing address
1411 165TH ST, CRESTON, IA 50801-8348
(641) 344-0887
(641) 782-6515
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02185
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031757
—
IA
Enumeration date
09/30/2005
Last updated
04/22/2019
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