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Individual

DR. CHRISTINE LEEANNE YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
(540) 985-6920
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(402) 245-1755

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101243192
VA
207P00000X
Emergency Medicine Physician
4301085956
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4301085956
MEDICAL LICENSE
MI
Enumeration date
04/17/2007
Last updated
08/05/2022
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