Individual
SCOTT J YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
19841 N 27TH AVE, SUITE 201, PHOENIX, AZ 85027-4005
(623) 582-6420
(623) 582-6720
Mailing address
13166 N 154TH LN, SURPRISE, AZ 85379-9157
(623) 251-5617
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3501
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157621
—
AZ
Enumeration date
08/12/2006
Last updated
07/08/2015
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