Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 1981 | AZ |
NPI | 1053626440 |
---|---|
Provider Name | Dr. Sherrylyn Young |
First Address | Tucson, AZ 85711-3640 |
Second Address | Green Valley, AZ 85614-0538 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2010 |
Last Update Date | 10/08/2010 |