Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 33570 | IA |
NPI | 1316945009 |
---|---|
Provider Name | Dr. Melissa Diane Young-Szalay |
First Address | West Des Moines, IA 50266-7702 |
Second Address | West Des Moines, IA 50266-7702 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 02/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
19293 | BLUE CROSS BLUE SHIELD (01) | IA |
G41310 | (02) |