ROBERT YOUNG CST/SFA NPI 1396997920

NPI Information

NPI: 1396997920
Provider Name: ROBERT YOUNG, CST/SFA
Classification: - 246ZS0400X
Entity Type: Individual
Address:
104 GREENTREE DR
TAHLEQUAH, OK
ZIP 74464
Phone: (918) 231-6827
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Robert Young, CST/SFA is a healthcare provider in Tahlequah, OK. Robert Young, CST/SFA NPI is 1396997920. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

104 GREENTREE DR
TAHLEQUAH, OK
ZIP 74464-113
Phone: (918) 231-6827
Fax: (918) 207-0006

The enumeration date for this NPI number is 10/14/2008 and was last updated on 10/14/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246ZS0400X				OKLAHOMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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