Individual
STEPHANIE A YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
165 REYNOLDS AVE STE A, BELLEFONTAINE, OH 43311-3005
(937) 441-5204
(937) 592-0047
Mailing address
5350 FRANTZ RD, DUBLIN, OH 43016-4259
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50001814
OH
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
10/04/2006
Last updated
01/13/2025
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