SearchOklahoma103K00000X

Jacob Young

NPI 1699520320 · on the registry since 2024

Practice

Address
13905 Technology Dr # A1
Oklahoma City, OK 73134
Phone
(469) 892-7500
Clinicians at this address
39

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-06-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma