Provider Demographics
NPI:1518921667
Name:YOUNG, HOWARD ARTHUR II (CRNA)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:ARTHUR
Last Name:YOUNG
Suffix:II
Gender:M
Credentials:CRNA
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:14 SIOUX TRL
Mailing Address - Street 2:
Mailing Address - City:RED LODGE
Mailing Address - State:MT
Mailing Address - Zip Code:59068-9406
Mailing Address - Country:US
Mailing Address - Phone:406-446-9136
Mailing Address - Fax:406-446-9136
Practice Address - Street 1:101 E WOOD ST
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-3040
Practice Address - Country:US
Practice Address - Phone:864-560-6000
Practice Address - Fax:864-560-6001
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MTRN27248367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered