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NPI Code Detail

MEDICARE: VINCENT TAKWING YU M.D.

MEDICARE: VINCENT TAKWING YU M.D.
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
1207Q00000XFamily Medicine PhysicianDR.0030832CO
2208600000XSurgery Physician30832CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1YUA34484OTHERCOBLUE CROSS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033155742
Entity Type Code : Individual
Provider Name (Legal Business Name) : VINCENT TAKWING YU M.D.
Provider Business Mailing Address
First Line : 1339 PHAY AVE
Second Line :
City : CANON CITY
State : CO
Zip : 81212-2301
Country : US
Telephone Number : 719-285-2760
Fax Number : 719-285-2992
Provider Business Practice Location Address
First Line : 1338 PHAY AVE
Second Line :
City : CANON CITY
State : CO
Zip : 81212-2311
Country : US
Telephone Number : 719-285-2760
Fax Number : 719-285-2992
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2006
Last Update Date : 05/05/2021

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