Healthcare Provider Details

I. General information

NPI: 1407176688
Provider Name (Legal Business Name): JOHN R YOUNG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2010
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

645 N ARLINGTON AVE STE 670
RENO NV
89503-4453
US

IV. Provider business mailing address

4838 SPARKS BLVD STE 102
SPARKS NV
89436-8156
US

V. Phone/Fax

Practice location:
  • Phone: 775-870-1480
  • Fax: 877-764-6351
Mailing address:
  • Phone: 775-870-1480
  • Fax: 877-764-6351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number20182
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: