Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 29876 | CO |
N | 2086S0105X | Surgery of the Hand | DR.0029876 | CO |
NPI | 1265413637 |
---|---|
Provider Name | Dr. Eric E Young |
First Address | Loveland, CO 80538 |
Second Address | Loveland, CO 80538 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2005 |
Last Update Date | 09/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01298769 | (05) | CO |
F72412 | (02) | CO |