Mckenzie R Youngblood, PA-C

NPI #1063010924 in Alton, Illinois

Provider Information

NPI Number: 1063010924
Entity Type: Individual
Name: Mckenzie R Youngblood, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 13, 2020
Last Updated: Sep 7, 2022

Practice Location

Address: 4 MEMORIAL DR STE 130
City: Alton
State: Illinois
ZIP Code: 62002-6704
Phone: (618) 463-7600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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