Gerald Lee Young MD PA
NPI #1336443258 in Soda Springs, Idaho
Provider Information
- NPI Number
- 1336443258
- Entity Type
- Organization
- Organization Name
- Gerald Lee Young MD PA
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 6, 2011
- Last Updated
- Mar 22, 2011
Practice Location
- Address
- 366 S 3RD W
- City
- Soda Springs
- State
- Idaho
- ZIP Code
- 83276-1559
- Phone
- (208) 547-4961
Authorized Official
- Name
- DR. GERALD L YOUNG, M.D.
- Title
- PRESIDENT
- Phone
- (208) 547-4961
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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