Organization
JOHN T YOUNG, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN T YOUNG M.D. (MD OWNER)
(317) 923-2301
Entity
Organization
Contact information
Practice address
3231 N MERIDIAN ST, SUITE 200, INDIANAPOLIS, IN 46208-5848
(317) 923-2301
(317) 923-4046
Mailing address
3231 N MERIDIAN ST, SUITE 200, INDIANAPOLIS, IN 46208-5848
(317) 923-2301
(317) 923-4046
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
18679
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306939210
NPI PERSONAL
IN
Enumeration date
03/13/2008
Last updated
03/13/2008
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