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Individual

DR. JOHN Y YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
850 GOVERNOR CARLOS CAMACHO ROAD, OKA TAMUNING, GU 96913-3128
(671) 647-2418
(671) 649-5508
Mailing address
850 GOVERNOR CARLOS CAMACHO ROAD, OKA TAMUNING, GU 96913-3128
(671) 647-2418
(671) 649-5508

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M-1519
GU

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10637222
PRIME HEALTH
CA
01
5586217
CIGNA
CA
01
CA341650
MEDICARE
CA
01
CA341651
MEDICARE
CA
01
CA341652
MEDICARE
CA
01
CB316288
MEDICARE
CA
01
P02229207
RAILROAD MEDICARE
CA
01
P02229212
RAILROAD MEDICARE
CA
Enumeration date
01/16/2007
Last updated
01/17/2020
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