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1184742520

NPI Code Detail

MEDICARE: DANIEL ORION YOUNG MD

MEDICARE: DANIEL ORION YOUNG MD

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	207RN0300X	Nephrology Physician	2008002675	MO
2	207R00000X	Internal Medicine Physician	2008002675	MO
3	208M00000X	Hospitalist Physician	2008002675	MO
4	207R00000X	Internal Medicine Physician	22516	NE

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	330454027	OTHER	MO	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184742520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL ORION YOUNG MD

Provider Business Mailing Address
First Line	:	1015 BOWLES AVE
Second Line	:
City	:	FENTON
State	:	MO
Zip	:	63026-2394
Country	:	US
Telephone Number	:	636-496-2525
Fax Number	:

Provider Business Practice Location Address
First Line	:	1015 BOWLES AVE
Second Line	:
City	:	FENTON
State	:	MO
Zip	:	63026-2394
Country	:	US
Telephone Number	:	636-496-2525
Fax Number	:

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

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	12/01/2025

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Directions to “ DANIEL ORION YOUNG MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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