NPI 1750353389 · live from the CMS NPI Registry
Vassilia D Young, MD
Dermatology in Rapid City, SD. National Provider Identifier 1750353389, active.
NPI record
| NPI | 1750353389 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 7236 Jordan Dr Ste 101, Rapid City, SD 57702 |
| Practice phone | 605-341-5565 |
| Mailing address | Po Box 6540, Rapid City, SD 57709 |
| Enumerated | February 7, 2006 |
| Last updated | January 15, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 4069 (SD) |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | 4069 (SD) |
| Dermatology, Dermatopathology | 207ND0900X | 4069 (SD) |
| Dermatology, Pediatric Dermatology | 207NP0225X | 4069 (SD) |
| Dermatology, Procedural Dermatology | 207NS0135X | 4069 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.