Individual
TINA L. YOUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5000
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
(602) 470-5064
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32705
AZ
208000000X
Pediatrics Physician
32705
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
887200
—
AZ
Enumeration date
06/03/2006
Last updated
02/04/2016
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