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NPI Code Detail

MEDICARE: MONICA YOUNG M.D.

MEDICARE:   MONICA  YOUNG  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianMD60639187WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033430053
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA YOUNG M.D.
Provider Business Mailing Address
First Line : 3920 CAPITAL MALL DR SW STE 201
Second Line :
City : OLYMPIA
State : WA
Zip : 98502-8702
Country : US
Telephone Number : 360-596-4880
Fax Number : 360-596-4881
Provider Business Practice Location Address
First Line : 3920 CAPITAL MALL DR SW STE 201
Second Line :
City : OLYMPIA
State : WA
Zip : 98502-8702
Country : US
Telephone Number : 360-596-4880
Fax Number : 360-596-4881
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2010
Last Update Date : 02/21/2018

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Directions to “ MONICA YOUNG M.D.” Practice Location

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