Doctor Name: | DR. ERIC GERARD YOUNG |
NPI Number: | 1366642290 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | M-7274 |
Business Practice Address: | 90 Hope Dr Mountain Home A F B, ID - 836481057 |
Business Phone Number: | 2088287655 |
Business Fax Number: | 2088287457 |
Mailing Address: | 90 Hope Dr, MOUNTAIN HOME A F B |
State: | ID |
Postal Code: | 836481057 |
Phone Number: | 2088287655 |
Fax Number: | 2088287457 |
NPI Enumeration Date: | 07/19/2007 |
NPI Last Update Date: | 07/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | M-7274 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |