Individual
WILLIAM YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2300 E 30TH ST, BLDG B, STE 102, FARMINGTON, NM 87401-8990
(505) 324-1000
(505) 324-1199
Mailing address
2300 E 30TH ST, BLDG B, STE 102, FARMINGTON, NM 87401-8990
(505) 324-1000
(505) 324-1199
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2002-0027
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42079217
—
NJ
01
—
79357
PRESBYTERIAN SALUD
NM
Enumeration date
01/09/2006
Last updated
01/22/2008
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