Individual
YOUNG-MI PRUDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
401 MATTHEW ST, MARIETTA, OH 45750
(740) 376-1994
(740) 376-1940
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449
(740) 374-4500
(740) 374-5887
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35.121720
OH
207RS0012X
Sleep Medicine (Internal Medicine) Physician
35.121720
OH
Other
Enumeration date
07/26/2009
Last updated
08/31/2021
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