Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 18461 | CO |
NPI | 1013976208 |
---|---|
Provider Name | Dr. David H Young |
First Address | Denver, CO 80210-7009 |
Second Address | Denver, CO 80218-1216 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01184613 | (05) | CO |
D23441 | (02) | CO |