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Individual

CRAIG M YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
24020 132ND AVE SE, KENT, WA 98042-5108
(253) 631-2929
(253) 631-2972
Mailing address
24020 132ND AVE SE, KENT, WA 98042-5108
(253) 631-2929
(253) 631-2972

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0019725
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1001718
WA
Enumeration date
08/30/2005
Last updated
10/01/2007
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