Individual
DR. BRIAN LAWRENCE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15653 N REEMS RD, SUITE 110, SURPRISE, AZ 85374-9541
(623) 214-3454
(623) 214-3455
Mailing address
13954 W WADDELL RD STE 103, SURPRISE, AZ 85379-8751
(623) 214-3454
(623) 214-3455
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
33964
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
954679
AHCCCS
AZ
Enumeration date
06/28/2006
Last updated
04/24/2018
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