Individual
IOLA GRACE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3245 HOSPITAL DR, JUNEAU, AK 99801-7809
(907) 463-4040
(907) 463-6660
Mailing address
222 TONGASS DR, SITKA, AK 99835-9416
(907) 463-4040
(907) 463-6660
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
427
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD28841
—
AK
Enumeration date
11/15/2006
Last updated
07/01/2009
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