Organization
VINCENT T YU MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT T. YU M.D. (OWNER)
(719) 276-2116
Entity
Organization
Contact information
Practice address
1121 MAIN ST, CANON CITY, CO 81212-3413
(719) 276-2116
(719) 276-6919
Mailing address
P.O. BOX 1614, CANON CITY, CO 81212-1614
(719) 276-2116
(719) 276-6919
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
30832
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04017075
—
CO
Enumeration date
08/30/2006
Last updated
02/05/2015
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