Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 487 | CO |
NPI | 1548240609 |
---|---|
Provider Name | Dr. Jennifer V Yull |
First Address | Colorado Springs, CO 80906-4466 |
Second Address | Colorado Springs, CO 80906-4466 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2006 |
Last Update Date | 24/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01004878 | (05) | CO |
480026777 | RRW MEDICARE (01) | CO |
57883 | BCBS (01) | CO |
841469291001 | RMHMO (01) | CO |
84146929103 | PACIFICARE (01) | CO |
U58817 | (02) | CO |