Dr. Michael Clarence Young
Family Doctor - Geriatric Medicine
301 Hale Ave
Prescott
, Arkansas 71857-3330
Dr. Michael Clarence Young
Family Doctor - Geriatric Medicine
301 Hale Ave
Prescott
, Arkansas 71857-3330
(870) 887-2008
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Michael Clarence Young
- 301 Hale Ave
- Prescott, AR
- Zip : 71857-3330
- Fax : (870) 887-2008
- Phone : (870) 887-6651
Second Address
- Dr. Michael Clarence Young
- 301 Hale Ave
- Prescott, AR
- Zip : 71857-3330
- Fax : (870) 887-2008
- Phone : (870) 887-6651
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | C4873 | AR |
National Provider Identifier
| NPI | 1124026836 |
|---|---|
| Provider Name | Dr. Michael Clarence Young |
| First Address | Prescott, AR 71857-3330 |
| Second Address | Prescott, AR 71857-3330 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2005 |
| Last Update Date | 08/10/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 080043829 | GBA RAILROAD (01) | AR |
| 1124026836 | (05) | AR |
| 127720000 | QUAL CHOICE (01) | AR |
| D83905 | (02) | AR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.