Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 25 | AK |
NPI | 1053531491 |
---|---|
Provider Name | Dr. Daniel J Young |
First Address | Eagle River, AK 99577-8038 |
Second Address | Eagle River, AK 99577-8038 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2007 |
Last Update Date | 09/07/2014 |