Provider Demographics
NPI:1043282700
Name:HEALY, DAVID YOUNG JR (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:YOUNG
Last Name:HEALY
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:160 HERITAGE WAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-3105
Mailing Address - Country:US
Mailing Address - Phone:406-752-8330
Mailing Address - Fax:406-752-8412
Practice Address - Street 1:160 HERITAGE WAY
Practice Address - Street 2:SUITE 201
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-3105
Practice Address - Country:US
Practice Address - Phone:406-752-8330
Practice Address - Fax:406-752-8412
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2016-06-23
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Provider Licenses
StateLicense IDTaxonomies
MT40951207Y00000X
HI15391207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1043282700Medicaid
M011006439Medicare PIN