Individual
MR. GARY TREVOR YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
127 ONEIDA VALLEY RD STE 202, BUTLER, PA 16001-2239
(724) 282-4370
(724) 431-2288
Mailing address
127 ONEIDA VALLEY RD STE 201, BUTLER, PA 16001-2239
(724) 431-4328
(724) 431-2288
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
TMA052929
PA
363AS0400X
Surgical Physician Assistant
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031853870001
—
PA
Enumeration date
06/30/2014
Last updated
04/20/2018
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