| Deyoung Family Medicine Llc | |
|
1024 Centre Ave Bld E Ste 100a Fort Collins CO 80526-1887 | |
| (970) 495-0300 | |
| (970) 224-9624 |
| Full Name | Deyoung Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1024 Centre Ave, Fort Collins, Colorado |
| Authorized Official Name and Position | Douglas B Deyoung (OWNER) |
| Authorized Official Contact | 9702157910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deyoung Family Medicine Llc 1175 58th Ave Ste 202 Greeley CO 80634-4807 Ph: (970) 495-0300 | Deyoung Family Medicine Llc 1024 Centre Ave Bld E Ste 100a Fort Collins CO 80526-1887 Ph: (970) 495-0300 |
| NPI Number | 1518156744 |
|---|---|
| Provider Enumeration Date | 10/24/2007 |
| Last Update Date | 03/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518156744 | NPI | - | NPPES |
| DED27536 | Other | CO | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 27536 (Colorado) | Primary |
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