MEDICARE: STEVEN MICHAEL YOUNG PA C

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
1	363A00000X	Physician Assistant	1634	AZ

General Provider Information

NPI Number	:	1740265719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN MICHAEL YOUNG PA C

Provider Business Mailing Address
First Line	:	4733 N 1ST AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85718-5610
Country	:	US
Telephone Number	:	520-888-3032
Fax Number	:	520-888-9479

Provider Business Practice Location Address
First Line	:	4733 N 1ST AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85718-5610
Country	:	US
Telephone Number	:	520-888-3032
Fax Number	:	520-888-9479

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2005
Last Update Date	:	04/09/2011

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Directions to “ STEVEN MICHAEL YOUNG PA C” Practice Location

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