Individual
DR. THOMAS RICHARD YOUNG III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4815 N HIGH COUNTRY WAY, STAR, ID 83669-5309
(208) 761-6884
Mailing address
4815 N HIGH COUNTRY WAY, STAR, ID 83669-5309
(208) 761-6884
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M 4112
ID
Other
Enumeration date
05/17/2007
Last updated
05/12/2020
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