Individual
DR. SUNG K YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 N. GRAND AVE., STE 150, PUEBLO, CO 81003-2749
(719) 595-7680
(719) 595-7687
Mailing address
PO BOX 560825, DENVER, CO 80256-0825
(719) 595-7680
(719) 595-7687
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
4301056521
MI
207RG0100X
Gastroenterology Physician
Primary
DR.0061669
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100F37143
BCBS AND BCN
MI
05
—
3364901
—
MI
05
—
4257370
—
MI
05
—
4340978
—
MI
05
—
9000170136
—
CO
Enumeration date
09/21/2006
Last updated
03/11/2019
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