Larry Young PA

NPI 1700842143 - Physician Assistant - 363A00000X

NPI Details
NPI 1700842143
Gender Male
Enumeration Date 04/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
415 MORRIS ST
SUITE 400
CHARLESTON WV, 25301-1842, US
Phone (304) 344-3551
Fax (304) 342-6927
Business Location
415 MORRIS ST
SUITE 400
CHARLESTON WV, 25301-1842, US
Phone (304) 344-3551
Fax (304) 342-6927
Toxanomy
Taxonomy Code 363A00000X
License State West Virginia
License Number 89
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According to our database, Mr. Larry Young PA NPI is 1700842143, taxonomy code is 363A00000X and license number is 89, license state is located at West Virginia. Larry Young PA physically located at 415 Morris St, Charleston WV, 25301-1842. NPI Number Larry Young PA has the Individual type.

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1700842143 NPI number is provided on an as is basis without warranty of any kind. 1700842143 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Young PA are for informational purposes only.