# VITALITY AESTHETICS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WOODLAND PARK FAMILY MEDICINE LLC
- **Other names:** Vitality Aesthetics
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1710427174
- **Legal business name:** WOODLAND PARK FAMILY MEDICINE LLC
- **Authorized official:** DR. MATTHEW C YOUNG MD (OWNER)
- **Authorized official phone:** (719) 502-9779

## Contact information

- **Practice address:** 7680 GODDARD ST, SUITE 100, COLORADO SPRINGS, CO 80920-8235
- **Practice address phone:** (719) 502-9779
- **Practice address fax:** (719) 418-6172
- **Mailing address:** 7680 GODDARD ST, SUITE 100, COLORADO SPRINGS, CO 80920-8235
- **Mailing address phone:** (719) 502-9779
- **Mailing address fax:** (719) 418-6172

## Taxonomy

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

## Other

- **Enumeration date:** 03/06/2017
- **Last updated:** 03/06/2017