Individual
DR. JOHN DAVID YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
20 N ASTER ST, GREENWOOD, AR 72936-3145
(479) 996-4111
(479) 484-4793
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(479) 996-4111
(479) 484-4793
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-18281
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2021
Last updated
07/15/2024
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