Individual
ROBERT YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CST/SFA
Contact information
Practice address
104 GREENTREE DR, TAHLEQUAH, OK 74464-4113
(918) 231-6827
(918) 207-0006
Mailing address
104 GREENTREE DR, TAHLEQUAH, OK 74464-4113
(918) 231-6827
(918) 207-0006
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
OK
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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