Provider Demographics
NPI:1407589435
Name:YOUNG, AIDAN STUART
Entity Type:Individual
Prefix:
First Name:AIDAN
Middle Name:STUART
Last Name:YOUNG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:003 HPC
Mailing Address - Street 2:UNI
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50614-4883
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:003 HPC
Practice Address - Street 2:UNI
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50614
Practice Address - Country:US
Practice Address - Phone:608-370-4540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program