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NPI Code Detail

MEDICARE: MR. STANLEY YEE PA-C

MEDICARE: MR. STANLEY YEE 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
1363A00000XPhysician Assistant2305CO

Other Identifiers

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

General Provider Information

NPI Number : 1437238037
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STANLEY YEE PA-C
Provider Business Mailing Address
First Line : 4323 INTEGRITY CENTER PT
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80917-1683
Country : US
Telephone Number : 719-365-2888
Fax Number : 719-365-1577
Provider Business Practice Location Address
First Line : 2767 JANITELL RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80906-4102
Country : US
Telephone Number : 719-365-2888
Fax Number : 719-365-1577
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2006
Last Update Date : 02/27/2019

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