Organization
ELAINE M YOUNG MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELAINE M YOUNG MD (PRESIDENT)
(304) 525-6132
Entity
Organization
Contact information
Practice address
1411 6TH AVE, HUNTINGTON, WV 25701
(304) 525-6132
(304) 697-0471
Mailing address
1411 6TH AVE, HUNTINGTON, WV 25701
(304) 525-6132
(304) 697-0471
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
16077
WV
207NP0225X
Pediatric Dermatology Physician
16077
WV
207NS0135X
Procedural Dermatology Physician
16077
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0069955000
—
WV
01
—
1376528356
PROVIDER NPI NUMBER
—
Enumeration date
06/20/2007
Last updated
05/19/2008
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