Healthcare Provider Details

I. General information

NPI: 1891971982
Provider Name (Legal Business Name): JULIE MARIE YUNG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIE MARIE THISTLETHWAITE MD

II. Dates (important events)

Enumeration Date: 01/18/2008
Last Update Date: 02/12/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 BANNOCK ST
DENVER CO
80204-4597
US

IV. Provider business mailing address

777 BANNOCK ST
DENVER CO
80204-4597
US

V. Phone/Fax

Practice location:
  • Phone: 303-436-4949
  • Fax: 303-602-6727
Mailing address:
  • Phone: 303-436-4949
  • Fax: 303-602-6727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDR.0049020
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: