| Doctor Name: | DOUGLAS TRENT YOUNG |
| NPI Number: | 1003889577 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PAC |
| License Number: | PA636 |
| Business Practice Address: | 2845 Siena Heights Dr Henderson, NV - 890524153 |
| Business Phone Number: | 7026171227 |
| Business Fax Number: | 7024921589 |
| Mailing Address: | Po Box 15645, LAS VEGAS |
| State: | NV |
| Postal Code: | 891145645 |
| Phone Number: | 7022427786 |
| Fax Number: | 7022408790 |
| NPI Enumeration Date: | 02/07/2006 |
| NPI Last Update Date: | 02/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA636 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |