Individual
DR. JOSEPH JAMES YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4214 SW LEE BLVD, LAWTON, OK 73505-8340
(580) 353-5860
(580) 353-0792
Mailing address
4214 SW LEE BLVD, LAWTON, OK 73505-8340
(580) 353-5860
(580) 353-0792
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
13033
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100093680A
—
OK
01
—
731221077
TAX ID
OK
Enumeration date
07/10/2006
Last updated
04/18/2019
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