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NPI Code Detail

MEDICARE: DR. PERRY WARD YOUNGER M.D.

MEDICARE: DR. PERRY WARD YOUNGER M.D.
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
1207W00000XOphthalmology PhysicianMD065707LPA
2207W00000XOphthalmology Physician35.149718OH

General Provider Information

NPI Number : 1295709905
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PERRY WARD YOUNGER M.D.
Provider Business Mailing Address
First Line : 8135 MARKET ST
Second Line :
City : BOARDMAN
State : OH
Zip : 44512-6244
Country : US
Telephone Number : 330-758-0900
Fax Number : 724-545-9678
Provider Business Practice Location Address
First Line : 518 WEST AVE
Second Line :
City : TALLMADGE
State : OH
Zip : 44278-2117
Country : US
Telephone Number : 330-630-9699
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2006
Last Update Date : 02/03/2025

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