Individual
DR. JON RANDAL YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4370 S. REDWOOD ROAD, SUITE B, SALT LAKE CITY, UT 84123-2223
(801) 417-5386
(801) 417-5522
Mailing address
4370 S. REDWOOD ROAD, SUITE B, SALT LAKE CITY, UT 84123-2223
(801) 417-5386
(801) 417-5522
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
104424-0501
UT
213ES0131X
Foot Surgery Podiatrist
Primary
104424-0501
UT
Other
Enumeration date
07/04/2006
Last updated
10/25/2022
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