Individual
BRYCE KELLY YOUNG
Active
Individual
BRYCE KELLY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R9277
IA
2085R0202X
Diagnostic Radiology Physician
Primary
ME129889
FL
Other
Enumeration date
06/15/2011
Last updated
10/05/2017
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