Provider Demographics
NPI:1003801408
Name:YOUNT, DAVID ALBERT (DPM)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALBERT
Last Name:YOUNT
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2459 E EUCLID AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50317-3657
Mailing Address - Country:US
Mailing Address - Phone:515-262-5856
Mailing Address - Fax:515-262-6446
Practice Address - Street 1:2459 E EUCLID AVE
Practice Address - Street 2:SUITE A
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50317-3657
Practice Address - Country:US
Practice Address - Phone:515-262-5856
Practice Address - Fax:515-262-6446
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA510213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0075762Medicaid
IA0075762Medicaid
IAU-19218Medicare UPIN