Organization
JOHN L. YOUNG, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN L YOUNG M.D. (PHYSICIAN/OWNER)
(301) 989-0548
Entity
Organization
Contact information
Practice address
4101 MEXICO RD, SUITE H, SAINT PETERS, MO 63376-6414
(301) 989-0548
(301) 989-1543
Mailing address
14 REDGATE CT, SILVER SPRING, MD 20905-5726
(301) 989-0548
(301) 989-1543
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2012008874
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2012008874
MEDICAL LICENSE
MO
Enumeration date
05/02/2013
Last updated
05/02/2013
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