Provider Demographics
NPI:1679576300
Name:YOUNG, ROBERT C (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:C
Last Name:YOUNG
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2002 KANELL BLVD
Mailing Address - Street 2:STE 205
Mailing Address - City:POPLAR BLUFF
Mailing Address - State:MO
Mailing Address - Zip Code:63901-4046
Mailing Address - Country:US
Mailing Address - Phone:573-785-9864
Mailing Address - Fax:573-785-6992
Practice Address - Street 1:2002 KANELL BLVD
Practice Address - Street 2:STE 205
Practice Address - City:POPLAR BLUFF
Practice Address - State:MO
Practice Address - Zip Code:63901-4046
Practice Address - Country:US
Practice Address - Phone:573-785-9864
Practice Address - Fax:573-785-6992
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-27
Last Update Date:2007-07-09
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Provider Licenses
StateLicense IDTaxonomies
MOR3N26207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology