| Charles Young Md | |
|
1812 Daley St Rawlins WY 82301-5912 | |
| (307) 324-6711 | |
| (307) 324-3594 |
| Full Name | Charles Young Md |
|---|---|
| Speciality | Family Medicine |
| Location | 1812 Daley St, Rawlins, Wyoming |
| Authorized Official Name and Position | Charles C Young (OWNER) |
| Authorized Official Contact | 3073246711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Young Md 1812 Daley St Rawlins WY 82301-5912 Ph: (307) 324-6711 | Charles Young Md 1812 Daley St Rawlins WY 82301-5912 Ph: (307) 324-6711 |
| NPI Number | 1912455155 |
|---|---|
| Provider Enumeration Date | 09/16/2016 |
| Last Update Date | 09/23/2016 |
| Medicare PECOS PAC ID | 0042598641 |
|---|---|
| Medicare Enrollment ID | O20161102002086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912455155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Charles C Young |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1538252077 PECOS PAC ID: 7416046768 Enrollment ID: I20071210000258 |
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