Healthcare Provider Details

I. General information

NPI: 1487720546
Provider Name (Legal Business Name): LEROY E YOUNG DO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 NORTH SHARTEL SUITE 500
OKLAHOMA CITY OK
73103
US

IV. Provider business mailing address

PO BOX 60129
OKLAHOMA CITY OK
73146-0129
US

V. Phone/Fax

Practice location:
  • Phone: 405-235-6200
  • Fax: 405-235-6206
Mailing address:
  • Phone: 405-235-6200
  • Fax: 405-235-6206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LEROY E. YOUNG
Title or Position: OWNER PHYSICIAN PRESIDENT
Credential: DO
Phone: 405-235-6200