MEDICARE: DR. MATTHEW CARL YOUNG 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
1	207Q00000X	Family Medicine Physician	43176	CO

General Provider Information

NPI Number	:	1821060062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW CARL YOUNG MD

Provider Business Mailing Address
First Line	:	8540 SCARBOROUGH DR STE 300
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-7519
Country	:	US
Telephone Number	:	719-755-0720
Fax Number	:	719-219-9680

Provider Business Practice Location Address
First Line	:	8540 SCARBOROUGH DR STE 300
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-7519
Country	:	US
Telephone Number	:	719-755-0720
Fax Number	:	719-219-9680

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	05/23/2022

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