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Individual

DR. MICHAEL EDWARD YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
9205 N UNION BLVD, SUITE 110, COLORADO SPRINGS, CO 80920-7830
(719) 282-0400
Mailing address
PO BOX 586, MONUMENT, CO 80132-0586
(410) 507-3129

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1194
CO

Other

Enumeration date
10/10/2006
Last updated
05/12/2011
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