Individual provider · Type 1 NPI
Timothy W. Young, DPM
Foot & Ankle Surgery Podiatrist · Issaquah, WA
NPI number
1508855966
Active
Practice location
450 NW Gilman Blvd, Suite 303
Issaquah, WA 98027-2483
Fax (425) 392-6433
Mailing address
2039 E Beaver Lake Dr SE
Sammamish, WA 98075-7920
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | PO00000389 (WA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1508855966
Timothy W. Young, DPM's National Provider Identifier is 1508855966, issued on Oct 18, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Issaquah, WA. The record was last updated on Dec 18, 2014.