Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 43838 | CO |
NPI | 1437209822 |
---|---|
Provider Name | Shawn E Young |
First Address | Denver, CO 80218-1122 |
Second Address | Denver, CO 80218-1122 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2007 |
Last Update Date | 19/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
72123788 | (05) | CO |
I14877 | (02) | CO |