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NPI Code Detail

MEDICARE: CAMERON HUNTER YOUNGBLOOD PA-C

MEDICARE: CAMERON HUNTER YOUNGBLOOD PA-C
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
1363AS0400XSurgical Physician Assistant1737CO

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 : 1255337184
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMERON HUNTER YOUNGBLOOD PA-C
Provider Business Mailing Address
First Line : 705 MARKETPLACE PLZ STE 200
Second Line :
City : STEAMBOAT SPRINGS
State : CO
Zip : 80487-1841
Country : US
Telephone Number : 970-879-6663
Fax Number : 970-871-1234
Provider Business Practice Location Address
First Line : 705 MARKETPLACE PLZ STE 200
Second Line :
City : STEAMBOAT SPRINGS
State : CO
Zip : 80487-1841
Country : US
Telephone Number : 970-879-6663
Fax Number : 970-871-1234
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2005
Last Update Date : 11/16/2021

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1629335658 — DR. JOHN ALEXANDER SIELATYCKI M.D.
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1265840284 — KELSEY M PIERSON PA
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Directions to “ CAMERON HUNTER YOUNGBLOOD PA-C” Practice Location

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