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Individual

CHRISTOPHER YOUNG WAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
13317
CA
2084N0400X
Neurology Physician
Primary
DO176520
OR
2084N0400X
Neurology Physician
DO2823
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14322903
CAQH #
NV
01
DO2823
NV DO LIC
NV
Enumeration date
05/10/2012
Last updated
03/11/2024
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