Individual
SHAUN D YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1125 BLACKHAWK BLVD, MT PLEASANT, UT 84647-2305
(435) 986-7156
(435) 986-7160
Mailing address
PO BOX 912042, ST GEORGE, UT 84791-2042
(435) 215-0230
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
13016451-1206
UT
363AS0400X
Surgical Physician Assistant
PA18771
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W17163
MEDICARE GROUP NUMBER
—
01
—
WPA18771A
MEDICARE PROVIDER ID
—
Enumeration date
01/23/2007
Last updated
08/21/2024
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