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Individual

MR. LEE HUNTER YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
9556 MANCHESTER RD, SAINT LOUIS, MO 63119-1313
(314) 961-2255
(314) 373-5757
Mailing address
9556 MANCHESTER RD, SAINT LOUIS, MO 63119-1313
(314) 373-5740
(314) 373-5757

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
085.003338
IL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
085-003338
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
085-003338
085-003338
IL
Enumeration date
10/31/2008
Last updated
01/19/2023
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