Individual
DR. JENNIFER V YULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
2975 BROADMOOR VALLEY RD, SUITE 104, COLORADO SPRINGS, CO 80906-4466
(719) 576-2080
(719) 576-2248
Mailing address
2975 BROADMOOR VALLEY RD, SUITE 104, COLORADO SPRINGS, CO 80906-4466
(719) 576-2080
(719) 576-2248
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
487
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01004878
—
CO
01
—
480026777
RRW MEDICARE
CO
01
—
57883
BCBS
CO
01
—
841469291001
RMHMO
CO
01
—
84146929103
PACIFICARE
CO
Enumeration date
01/17/2006
Last updated
08/24/2015
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