Individual
GERALD L YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
366 S 3RD W, SODA SPRINGS, ID 83276-1559
(208) 547-4961
(208) 547-3781
Mailing address
366 S 3RD W, SODA SPRINGS, ID 83276-1559
(208) 547-4961
(208) 547-3781
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M3234
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010006157
REGENCE BLUE SHIELD
ID
05
—
0025019
—
ID
01
—
080191334
RAILROAD MEDICARE
ID
01
—
32342
BLUE CROSS OF IDAHO
ID
Enumeration date
08/08/2006
Last updated
03/25/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us