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Individual

ERIC SQUIRES YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-4491
(434) 924-9400
(434) 982-1618
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(434) 295-1000

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
0110007421
VA
363A00000X
Physician Assistant
Primary
0110007421
VA
363AM0700X
Medical Physician Assistant
0110007421
VA

Other

Enumeration date
05/15/2021
Last updated
03/06/2023
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