Individual
DR. DANIELLE Z YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18205 N. 51ST AVENUE , BLDG. 2, SUITE 109, GLENDALE, AZ 85308-1491
(602) 547-1400
Mailing address
18205 N. 51ST AVENUE, BLDG 2, SUITE 109, GLENDALE, AZ 85308-1491
(602) 547-1400
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
36544
AZ
207L00000X
Anesthesiology Physician
Primary
M4671
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198251401
—
TX
01
—
8V3697
BCBS PROV ID
TX
01
—
P00394520
RAILROAD MEDICARE
TX
Enumeration date
09/13/2006
Last updated
10/15/2012
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