Healthcare Provider Details

I. General information

NPI: 1043270903
Provider Name (Legal Business Name): LINDA E YOUNG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 08/23/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 16TH ST
GREELEY CO
80631-5114
US

IV. Provider business mailing address

1916 76TH AVENUE CT
GREELEY CO
80634-8639
US

V. Phone/Fax

Practice location:
  • Phone: 970-350-2454
  • Fax: 970-350-2447
Mailing address:
  • Phone: 303-917-1777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number2026035426
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number41783
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number41783
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: