Individual provider · Type 1 NPI
Evan Reese Young, DPM
Foot & Ankle Surgery Podiatrist · Lutz, FL
NPI number
1881962652
Active
Practice location
1005 Dale Mabry Hwy
Lutz, FL 33548-3021
Fax (813) 701-9132
Mailing address
2511 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | PO4216 (FL) |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | PO4216 (FL) |
| Foot Surgery Podiatrist | 213ES0131X | PO4216 (FL) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | PO4216 (FL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
4 other providers at this address
Other foot & ankle surgery podiatrist providers in Lutz
About NPI 1881962652
Evan Reese Young, DPM's National Provider Identifier is 1881962652, issued on Dec 8, 2011. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Lutz, FL. The record was last updated on Oct 27, 2023.