Individual
ADA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2920 N 4TH ST, FLAGSTAFF, AZ 86004-1816
(928) 522-9874
Mailing address
PO BOX 3630, FLAGSTAFF, AZ 86003-3630
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R3889
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
08/30/2022
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