Individual
AMY MARIE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6780 W THUNDERBIRD RD STE A105, PEORIA, AZ 85381
(602) 595-0525
(602) 595-2470
Mailing address
645 E MISSOURI AVE STE 300, PHOENIX, AZ 85012-1351
(602) 262-8900
(602) 262-8890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4872
AZ
363A00000X
Physician Assistant
5601003682
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010619
MCLAREN HEALTH PLAN
MI
01
—
139497
GREAT LAKES HEALTH PLAN
MI
01
—
275
COMMUNITY CHOICE
MI
01
—
3500576
MOLINA HEALTH CARE
MI
01
—
970025690
RAILROAD MEDICARE
—
Enumeration date
10/12/2005
Last updated
09/21/2018
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