Individual
DR. ROBERT ELLSWORTH YOUNG II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MISSION BLVD, SUITE 2800, JACKSON, CA 95642-2536
(209) 257-0177
(209) 257-0176
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G86327
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G863270
—
CA
Enumeration date
08/17/2005
Last updated
06/29/2015
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