| NPI | 1881717304 |
|---|---|
| Doing Business As | DOUGLAS YOUNG CLINIC |
| Entity Type | Organization |
| Authorized Contact | BOB MARCHETTI CFO 619-275-0822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA 3708) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2021-07-29 |