Clarence Dale Young in Modesto - Radiation Oncology
Clarence Dale Young - NPI 1649261371
Clarence Dale Young is a Radiation Oncology in Modesto, California. Clarence Dale Young practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Clarence Dale Young is 1649261371. The last update date is 2008-08-14.
Clarence Dale Young's current location address is 4301 Northstar Way, Modesto, California. You can contact this provider via phone number 2093422300 and fax number 2095244240. The mailing address for Clarence Dale Young is 4301 Northstar Way, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clarence Dale Young |
|---|---|
| Address | 4301 Northstar Way, Modesto, California |
| Phone Number | 2093422300 |
| Fax Number | 2095244240 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1649261371 |
|---|---|
| Provider Enumeration Date | 2005-11-02 |
| Last Updated Date | 2008-08-14 |
Provider Mailing Address Detail
| Address | 4301 Northstar Way |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953569262 |
| Phone Number | 2093422300 |
| Fax Number | 2095244240 |
Provider's Primary Taxonomy Detail
| Speciality | Radiation Oncology |
|---|---|
| Taxonomy | 2085R0001X |
| Licence No | A68208 |
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Definition: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A682080 | CA | BLUE SHIELD | |
| 00A682080 | CA | -- |
Post Comment/ Review Below
What is the Clarence Dale Young's unique identification number?
The Clarence Dale Young has been assigned the NPI (National Provider Identifier) Number 1649261371 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Clarence Dale Young's facilities are geographically located?
The facilities of Clarence Dale Young are physically situated at the following location: 4301 Northstar Way, Modesto, CA, 953569262.
What is Clarence Dale Young's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Clarence Dale Young is Radiation Oncology, and the taxonomy classification code that categorizes this area of expertise is 2085R0001X.
On what date did the Clarence Dale Young receive its 1649261371 assignment from the Centers for Medicare & Medicaid Services?
The Clarence Dale Young was assigned its 1649261371 by the Centers for Medicare & Medicaid Services on 2005-11-02.
When was the Clarence Dale Young's information last updated?
The Clarence Dale Young's information was last updated on 2008-08-14.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY