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Individual

DR. RICHARD S YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1910 MALVERN AVE, HOT SPRINGS, AR 71901-7752
(501) 620-2720
Mailing address
PO BOX 634659, CINCINNATI, OH 45263-0001

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R-4288
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
120450001
AR
05
207831629
MO
01
55037
BLUE CROSS
AR
Enumeration date
06/03/2006
Last updated
11/30/2007
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