Individual
THOMAS P YOUNG III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, NP
Contact information
Practice address
830 2ND ST STE A, SANTA ROSA, CA 95404-4620
(415) 895-1441
(415) 895-1288
Mailing address
550 RICHMOND DR, SANTA ROSA, CA 95401-3618
(415) 301-0902
(415) 895-1288
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
349096
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
7662
CA
Other
Enumeration date
04/09/2007
Last updated
01/24/2025
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