Doctor Name: | ANTHONY MCCALL YOUNG |
NPI Number: | 1255596060 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NP-C |
License Number: | AP3053 |
Business Practice Address: | 10450 E Riggs Rd Suite 114 Sun Lakes, AZ - 852487758 |
Business Phone Number: | 4805052450 |
Business Fax Number: | 4805052465 |
Mailing Address: | 10450 E Riggs Rd, Ste 114 SUN LAKES |
State: | AZ |
Postal Code: | 852487758 |
Phone Number: | 4805052450 |
Fax Number: | 4805052460 |
NPI Enumeration Date: | 07/21/2008 |
NPI Last Update Date: | 06/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SF0001X |
License Number: | AP3053 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Family Health |
Taxonomy Definition: |