Individual
SUSAN BLYTHE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1301 NE 1ST ST, SUITE 200, PRYOR, OK 74361-8850
(918) 824-7767
(918) 824-6410
Mailing address
1831 E 71ST ST, TULSA, OK 74136-3922
(918) 824-7773
(918) 824-6410
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3799
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200064490A
—
OK
Enumeration date
01/09/2006
Last updated
03/18/2020
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