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NPI Code Detail

MEDICARE: GORDON JAMES YOUNG MD

MEDICARE: GORDON JAMES 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
1207Q00000XFamily Medicine Physician9437AZ

General Provider Information

NPI Number : 1508951849
Entity Type Code : Individual
Provider Name (Legal Business Name) : GORDON JAMES YOUNG MD
Provider Business Mailing Address
First Line : 9250 N. 3RD STREET
Second Line : STE. 3020
City : PHOENIX
State : AZ
Zip : 85020-2425
Country : US
Telephone Number : 602-246-0351
Fax Number : 602-246-7023
Provider Business Practice Location Address
First Line : 9250 N. 3RD STREET
Second Line : STE. 3020
City : PHOENIX
State : AZ
Zip : 85020-2425
Country : US
Telephone Number : 602-246-0351
Fax Number : 602-246-7023
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 06/11/2014

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