person
Shaun D Young, PA
Medical Physician Assistant in Mt Pleasant, Utah
NPI 1538214515

Shaun D Young is a Medical Physician Assistant based in St George, UT and is specialized in Medical. Shaun D Young practices in Mt Pleasant, UT and has the professional credentials of PA. The NPI Number for Shaun D Young is 1538214515 and holds a License No. PA18771 (Utah).

The current practice location address for Shaun D Young is 1125 Blackhawk Blvd, Mt Pleasant, UT and can be reached out via phone at 435-986-7156 and via fax at 435-986-7160.

Location: 1125 Blackhawk Blvd, Mt Pleasant, UT, 84791-2042
person
Provider Profile Details
NPI Number
1538214515
Provider Name
Shaun D Young
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1125 Blackhawk Blvd, Mt Pleasant, UT, 84791-2042
Phone Number
435-986-7156
Fax Number
435-986-7160
Provider Enumeration Date
01/23/2007
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W17163 01 MEDICARE GROUP NUMBER
WPA18771A 01 MEDICARE PROVIDER ID
W17163 01 MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1125 Blackhawk Blvd
City
State
Zip
84647-2305
Phone Number
435-986-7156
Fax Number
435-986-7160
person
Provider Business Mailing Address Details
Address
1125 Blackhawk Blvd
City
State
Zip
84647-2305
Phone Number
435-986-7156
Fax Number
435-986-7160
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
13016451-1206 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA18771 (California)
Definition
Definition to come...
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