Individual
DR. ROBERT LEE YOUNGBLOOD I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
880 E 9400 S, SUITE 111, SANDY, UT 84094-3667
(801) 571-4007
(801) 571-4145
Mailing address
880 E 9400 S, SUITE 111, SANDY, UT 84094-3667
(801) 571-4007
(801) 571-4145
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
150842-1205
UT
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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