Individual
DR. CARL YOUNGSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3911 CASTLEVALE RD, SUITE 105, YAKIMA, WA 98902-7807
(509) 575-7652
(509) 575-3658
Mailing address
3911 CASTLEVALE RD, SUITE 105, YAKIMA, WA 98902-7807
(509) 575-7652
(509) 575-3658
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00014591
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7017049
—
WA
Enumeration date
10/10/2006
Last updated
07/08/2007
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