Individual
MRS. AMELIA ROSE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 S. DOBSON RD, MESA, AZ 85202
(480) 412-3000
(480) 654-2922
Mailing address
1250 S. CLEARVIEW AVE #100, MESA, AZ 85209
(480) 423-4670
(480) 654-2922
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3611
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3611
AZ LICENSE
AZ
Enumeration date
02/27/2006
Last updated
09/01/2023
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