# DEYOUNG FAMILY MEDICINE LLC

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

## Provider details

- **NPI number:** 1518156744
- **Authorized official:** DOUGLAS B DEYOUNG DO (OWNER)
- **Authorized official phone:** (970) 215-7910

## Contact information

- **Practice address:** 1024 CENTRE AVE, BLD E STE 100A, FORT COLLINS, CO 80526-1887
- **Practice address phone:** (970) 495-0300
- **Practice address fax:** (970) 224-9624
- **Mailing address:** 1175 58TH AVE, STE 202, GREELEY, CO 80634-4807
- **Mailing address phone:** (970) 495-0300
- **Mailing address fax:** (970) 224-9624

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 27536 | CO | Yes |

## Other

- **Enumeration date:** 10/24/2007
- **Last updated:** 03/07/2011