Doctor Name: | GERALD ALLEN YOUNG |
NPI Number: | 1225232259 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | BC-HIS |
License Number: | 467 |
Business Practice Address: | 1118 W 3rd St Sedalia, MO - 653013729 |
Business Phone Number: | 6608271631 |
Business Fax Number: | 6608261743 |
Mailing Address: | 1118 W 3rd St, P.o.box 1207 SEDALIA |
State: | MO |
Postal Code: | 653013729 |
Phone Number: | 6608271631 |
Fax Number: | 6608261743 |
NPI Enumeration Date: | 06/13/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 467 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |