NPI 1194473520
Forever Young Medical Services PC
Practice location
- Address
- 6322 S 3000 E STE 170, Salt Lake City, UT 84121-7290
- Phone
- (801) 513-3223
- Mailing address
- PO Box 1385, Idaho Falls, ID 83403-1385
Authorised official
- Name
- Sean B Young
- Title
- Owner
- Phone
- (801) 698-9230
Registered specialties
Certified Registered Nurse Anesthetist
Primary
Registry record
- NPI
- 1194473520
- Entity type
- Organization
- NPI issued
- 15 Mar 2022
- Record last updated
- 21 Mar 2022
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.