Whalio Doctors

NPI 1003143942

Robert L. Youngblood, M.D.,p.C.

Organisation Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Sandy, UT

Practice location

Address
880 E 9400 S Suite 111, Sandy, UT 84094-3667
Phone
(801) 571-4007
Fax
(801) 571-4145

Authorised official

Name
Robert Lee Youngblood
Title
Medical Doctor
Phone
(801) 571-4007

Registered specialties

Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2082S0099X Licence 150842-1205 (UT)

Registry record

NPI
1003143942
Entity type
Organization
NPI issued
13 Nov 2009
Record last updated
13 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.