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Individual

MR. ANTHONY YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
420 GUNBY AVE, BASTROP, LA 71220-4406
(318) 283-3920
Mailing address
323 W WALNUT AVE, BASTROP, LA 71220-4521
(318) 283-3607

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
102694
NC
363AM0700X
Medical Physician Assistant
Primary
PA.A10295
LA
363AM0700X
Medical Physician Assistant
PA9112036
FL

Other

Enumeration date
04/26/2006
Last updated
10/21/2020
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