Individual
VINCENT TAKWING YU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1338 PHAY AVE, CANON CITY, CO 81212-2311
(719) 285-2760
(719) 285-2992
Mailing address
1339 PHAY AVE, CANON CITY, CO 81212-2301
(719) 285-2760
(719) 285-2992
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DR.0030832
CO
208600000X
Surgery Physician
Primary
30832
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01308329
—
CO
01
—
YUA34484
BLUE CROSS
CO
Enumeration date
06/21/2006
Last updated
05/05/2021
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