NPI 1851736045

John L. Young, M.D.

Organisation General Practice Physician Saint Peters, MO

Practice location

Address: 4101 Mexico Rd Suite H, Saint Peters, MO 63376-6414
Phone: (301) 989-0548
Fax: (301) 989-1543
Mailing address: 14 Redgate CT, Silver Spring, MD 20905-5726

Authorised official

Name: John L Young
Title: Physician/Owner
Phone: (301) 989-0548

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 2012008874 (MO)

Other General Practice providers in Missouri →

Registry record

NPI: 1851736045
Entity type: Organization
NPI issued: 2 May 2013
Record last updated: 2 May 2013

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.