Individual
JERALD MARTIN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1501 EAST 3RD STREET, DELTA COUNTY MEMORIAL HOSPITAL, DELTA, CO 81416
(970) 874-7681
(970) 874-2227
Mailing address
PO BOX 791, DELTA, CO 81416
(970) 856-6519
(970) 856-6546
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
75028
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04017554
—
CO
01
—
412036143001
HMO
CO
Enumeration date
03/09/2007
Last updated
02/28/2008
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