NPI 1487233805

Casey Lee Young

Practitioner Pediatric Otolaryngology Physician Fairfax, VA

Practice location

Address: 3801 University Dr, Fairfax, VA 22030-2503
Phone: (703) 383-8130
Mailing address: 8910 Jackson Ave, Manassas, VA 20110-4958

Registered specialties (2)

Pediatric Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YP0228X Licence 0110009393 (VA)

Other Otolaryngology providers in Virginia →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1487233805
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Apr 2021
Record last updated: 30 Aug 2024

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.