Susan B. Young DO PLC

Surgery Physician · Broken Arrow, OK

Organization Active NPI

NPI number 1740712660

Practice location

4700 W Urbana St
Broken Arrow, OK 74012-5504
Phone
(918) 290-2300
Fax
(918) 290-2310

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NPI record

NPI
1740712660
Entity type
Organization (Type 2)
Enumeration date
March 30, 2017
Last updated
May 9, 2017
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X 3799 OK

Mailing address

PO Box 21052
Dept 22431
Tulsa, OK 74121-1052
Phone
(405) 775-9350
Fax
(405) 775-9360

Authorized official

Name
Susan Young, D.O.
Title
Owner
Phone
(405) 775-9350

About Susan B. Young DO PLC

Susan B. Young DO PLC is a healthcare organization registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 4700 W Urbana St, Broken Arrow, OK 74012-5504. The NPI number 1740712660 was assigned on March 30, 2017 and the record was last updated on May 9, 2017.

Susan B. Young DO PLC lists a license in the registry: #3799 (OK) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Susan Young, D.O., Owner.

Frequently asked questions

What is the NPI number of Susan B. Young DO PLC?

The NPI number is 1740712660.

What is the phone number of Susan B. Young DO PLC?

The phone number listed for the practice location is (918) 290-2300.

Where is Susan B. Young DO PLC located?

4700 W Urbana St, Broken Arrow, OK 74012-5504.

What is the taxonomy code for Susan B. Young DO PLC?

The primary taxonomy code is 208600000X – Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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