Whalio Doctors

NPI 1003889577

Douglas Trent Young, PAC

Practitioner Medical Physician Assistant Henderson, NV

Practice location

Address
2845 Siena Heights Dr, Henderson, NV 89052-4153
Phone
(702) 617-1227
Fax
(702) 492-1589
Mailing address
PO Box 15645, Las Vegas, NV 89114-5645

Registered specialties

Medical Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA636 (NV)

Registry record

NPI
1003889577
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Feb 2006
Record last updated
14 Feb 2014

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.