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NPI Code Detail

MEDICARE: DR. JEANNE YOUNG OH MD

MEDICARE: DR. JEANNE YOUNG OH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician35083372OH
2208000000XPediatrics Physician43668CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770577595
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEANNE YOUNG OH MD
Provider Business Mailing Address
First Line : 5657 S HIMALAYA ST
Second Line : SUITE 100
City : CENTENNIAL
State : CO
Zip : 80015-5307
Country : US
Telephone Number : 303-699-6200
Fax Number : 720-870-0242
Provider Business Practice Location Address
First Line : 5657 S HIMALAYA ST
Second Line : SUITE 100
City : CENTENNIAL
State : CO
Zip : 80015-5307
Country : US
Telephone Number : 303-699-6200
Fax Number : 720-870-0242
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2005
Last Update Date : 07/08/2007

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Directions to “ DR. JEANNE YOUNG OH MD” Practice Location

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