Provider Demographics
NPI:1326464306
Name:YOUNG, ROBERT SCOTT (RT (R) (T))
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:SCOTT
Last Name:YOUNG
Suffix:
Gender:M
Credentials:RT (R) (T)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3474 HIGHWAY CC
Mailing Address - Street 2:
Mailing Address - City:BROSELEY
Mailing Address - State:MO
Mailing Address - Zip Code:63932-8171
Mailing Address - Country:US
Mailing Address - Phone:417-300-0132
Mailing Address - Fax:
Practice Address - Street 1:10500 MASTIN ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-5717
Practice Address - Country:US
Practice Address - Phone:816-922-2750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-13
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471R0002XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiation Therapy