Healthcare Provider Details

I. General information

NPI: 1831124783
Provider Name (Legal Business Name): MARC CHRISTOPHER YOUNG DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 IRONWOOD DR STE 1103
MINDEN NV
89423-5179
US

IV. Provider business mailing address

925 IRONWOOD DR STE 1103
MINDEN NV
89423-5179
US

V. Phone/Fax

Practice location:
  • Phone: 775-783-1122
  • Fax: 775-783-0868
Mailing address:
  • Phone: 775-783-1122
  • Fax: 775-783-0868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number9814
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: