Individual
ELTON YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
525 BRANSON LANDING BLVD STE 100, BRANSON, MO 65616-2152
(417) 348-7490
(417) 348-8881
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-7241
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2002003300
MO
Other
Enumeration date
05/23/2007
Last updated
10/25/2019
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