Provider Demographics
NPI:1679756852
Name:YOUNG, DAVID B (DO)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:B
Last Name:YOUNG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1055 N 500 W
Mailing Address - Street 2:CREDENTIALING DEPARTMENT
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-3305
Mailing Address - Country:US
Mailing Address - Phone:801-354-8225
Mailing Address - Fax:801-418-0941
Practice Address - Street 1:1886 W 800 N
Practice Address - Street 2:
Practice Address - City:PLEASANT GROVE
Practice Address - State:UT
Practice Address - Zip Code:84062-4097
Practice Address - Country:US
Practice Address - Phone:801-756-5288
Practice Address - Fax:801-756-7589
Is Sole Proprietor?:No
Enumeration Date:2007-12-11
Last Update Date:2023-11-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5101016473207V00000X
UT7257824-1204207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology