Individual
DR. MARY JO YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
HOLY CROSS MEDICAL CENTER PRIMARY CARE CLINIC, 1329 GUSDORF ROAD, TAOS, NM 87571
(575) 737-3416
(575) 737-3416
Mailing address
HOLY CROSS MEDICAL CENTER PRIMARY CARE CLINIC, 1329 GUSDORF ROAD, TAOS, NM 87571
(575) 737-3415
(575) 737-3416
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
37019
CO
207R00000X
Internal Medicine Physician
Primary
MD2023-1249
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95673768
—
CO
Enumeration date
02/28/2007
Last updated
11/07/2023
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