Healthcare Provider Details

I. General information

NPI: 1326137274
Provider Name (Legal Business Name): GLADYS YOUNG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 04/03/2025
Certification Date: 04/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 W MONROE AVE
CHESTER MT
59522-0506
US

IV. Provider business mailing address

PO BOX 506
CHESTER MT
59522-0506
US

V. Phone/Fax

Practice location:
  • Phone: 406-759-5194
  • Fax:
Mailing address:
  • Phone: 406-759-5194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4611
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number4611
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: