Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 35047499 | OH |
NPI | 1104902329 |
---|---|
Provider Name | Gary Michael Youra |
First Address | Dayton, OH 45415-1185 |
Second Address | Dayton, OH 45415-1185 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000037307 | BLUE CROSS BLUE SHIELD (01) | |
0502969 | (05) | OH |
0502969 | BUREAU FOR CHILDREN WITH (01) | |
0633580 | AETNA (01) | |
1220171 | UNITED HEALTHCARE (01) | |
203969 | NATIONWIDE (01) | |
311627276028 | CARESOURCE (01) | |
D47499 | HUMANA CHOICECARE (01) |