Individual
ALLISON YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2835 FORT MISSOULA RD STE 200, MISSOULA, MT 59804-7424
(406) 721-5600
(406) 329-7122
Mailing address
PO BOX 7609, MISSOULA, MT 59807-7609
(406) 721-5600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12418
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000910920
BLUE CROSS BLUE SHIELD OF MT
MT
05
—
1417157827
—
MT
Enumeration date
07/23/2007
Last updated
05/05/2022
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