| Gerald Lee Young Md Pa | |
|
366 S 3rd W Soda Springs ID 83276-1559 | |
| (208) 547-4961 | |
| (208) 547-3781 |
| Full Name | Gerald Lee Young Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 366 S 3rd W, Soda Springs, Idaho |
| Authorized Official Name and Position | Gerald L Young (PRESIDENT) |
| Authorized Official Contact | 2085474961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald Lee Young Md Pa 366 S 3rd W Soda Springs ID 83276-1559 Ph: (208) 547-4961 | Gerald Lee Young Md Pa 366 S 3rd W Soda Springs ID 83276-1559 Ph: (208) 547-4961 |
| NPI Number | 1336443258 |
|---|---|
| Provider Enumeration Date | 01/06/2011 |
| Last Update Date | 03/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336443258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M3234 (Idaho) | Primary |
Lakeview Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 S 3rd W, Soda Springs, ID 83276 Phone: 208-547-3341 Fax: 208-547-2790 | |
Caribou Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 S 3rd W, Soda Springs, ID 83276 Phone: 208-547-4961 Fax: 208-547-3781 | |
Caribou Medical Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 S 3rd W, Soda Springs, ID 83276 Phone: 208-547-3341 Fax: 208-547-2790 | |
Caribou Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 South 3rd West, Soda Springs, ID 83276 Phone: 208-547-3341 Fax: 208-547-2790 |