ETHAN YOUNG, PA
Physician Assistant
Active
Individual
NPI: 1124590229
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 12384125-1206 (UT) |
| Physician Assistant - Medical | 363AM0700X | No | - |
Frequently Asked Questions
NPI 1124590229 is the National Provider Identifier for ETHAN YOUNG, PA, a Physician Assistant provider located in Riverton, UT. This NPI was enumerated on December 30, 2018.
ETHAN YOUNG, PA practices at 3723 W 12600 S STE 430, Riverton, UT 84065.
Quick Facts
- NPI
- 1124590229
- Type
- Individual
- Enumerated
- Dec 30, 2018
- Last Updated
- Apr 12, 2022
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