| Organization Name: | JOHN L. YOUNG, M.D. |
| NPI Number: | 1851736045 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN L YOUNG (PHYSICIAN/OWNER) |
| Mailing Address: | 4101 Mexico Rd Suite H Saint Peters |
| State: | MO US |
| Postal Code: | 633766414 |
| Phone Number: | 3019890548 |
| Fax Number: | 3019891543 |
| NPI Enumeration Date: | 05/02/2013 |
| NPI Last Update Date: | 05/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 2012008874 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |