Individual
DR. RAUL NEFTALI YOUNG-RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1060 GAFFNEY RD # 7440, MCUC-QMD-CP CREDENTIALS BASSETT ARMY COMMUNITY HOSPITAL, FORT WAINWRIGHT, AK 99703-5001
(907) 353-5143
Mailing address
PO BOX 15805, SEATTLE, WA 98115-0805
(206) 417-3284
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00020486
WA
Other
Enumeration date
10/28/2006
Last updated
07/08/2007
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