Woodland Park Family Medicine, Llc | |
16222 W Us Highway 24 Ste 200 Woodland Park CO 80863-8762 | |
(719) 686-2801 | |
(719) 686-2809 |
Full Name | Woodland Park Family Medicine, Llc |
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Speciality | Family Medicine |
Location | 16222 W Us Highway 24, Woodland Park, Colorado |
Authorized Official Name and Position | Matthew C Young (PARTNER PHYSICIAN) |
Authorized Official Contact | 7196862801 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Woodland Park Family Medicine, Llc 16222 W Us Highway 24 Suite 200 Woodland Park CO 80863-8762 Ph: (719) 686-2801 | Woodland Park Family Medicine, Llc 16222 W Us Highway 24 Ste 200 Woodland Park CO 80863-8762 Ph: (719) 686-2801 |
NPI Number | 1487856407 |
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Provider Enumeration Date | 06/01/2007 |
Last Update Date | 08/06/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487856407 | NPI | - | NPPES |
810093 | Other | CO | MEDICARE |
41134711 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 43176 (Colorado) | Primary |
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