Individual
MR. JEFFREY MILTON YOUNG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
13677 W MCDOWELL RD, GOODYEAR, AZ 85338-2618
(623) 882-1500
Mailing address
708 S WINDSOR, MESA, AZ 85204-3814
(480) 610-9794
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2072
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3981220
EVERCARE GROUP NUMBER
AZ
01
—
AW1436
HEALTHNET GROUP NUMBER
AZ
01
—
AZ0728670
BLUE CROSS BLUE SHIELD GR
AZ
Enumeration date
11/07/2005
Last updated
07/08/2007
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