Provider Demographics
NPI:1487839106
Name:POWER, YOUNGER L (MD)
Entity Type:Individual
Prefix:DR
First Name:YOUNGER
Middle Name:L
Last Name:POWER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 N HILLS DR
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26104-9224
Mailing Address - Country:US
Mailing Address - Phone:304-428-4147
Mailing Address - Fax:
Practice Address - Street 1:8480 DUPONT ROAD
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:WV
Practice Address - Zip Code:26181
Practice Address - Country:US
Practice Address - Phone:304-863-2605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-31
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV09826171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor