Individual
THOMAS H YOUNG
Active
Individual
THOMAS H YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101-029105
VA
207R00000X
Internal Medicine Physician
Primary
0101029105
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005810400
—
VA
01
—
C06615
GROUP PTAN
VA
Enumeration date
07/17/2006
Last updated
11/19/2010
Update your record
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