Individual
MARK DENE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2420 W 16TH ST, GREELEY, CO 80634
(970) 353-7668
(970) 353-2801
Mailing address
6801 W 20TH ST, SUITE 101, ATTN:SUE, GREELEY, CO 80634
(970) 378-8000
(970) 378-8088
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28289
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01282896
—
CO
Enumeration date
03/01/2006
Last updated
04/23/2020
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