# WOODLAND PARK FAMILY MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487856407
- **Authorized official:** MATTHEW C YOUNG M.D. (PARTNER PHYSICIAN)
- **Authorized official phone:** (719) 686-2801

## Contact information

- **Practice address:** 16222 W US HIGHWAY 24, STE 200, WOODLAND PARK, CO 80863-8762
- **Practice address phone:** (719) 686-2801
- **Practice address fax:** (719) 686-2809
- **Mailing address:** 16222 W US HIGHWAY 24, SUITE 200, WOODLAND PARK, CO 80863-8762
- **Mailing address phone:** (719) 686-2801
- **Mailing address fax:** (719) 686-2809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 43176 | CO | Yes |

## Other

- **Enumeration date:** 06/01/2007
- **Last updated:** 08/06/2008