Individual
DEVON MARIE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 E BOULDER ST, SUITE 600, COLORADO SPRINGS, CO 80909-5533
(719) 364-6487
(719) 364-6488
Mailing address
1400 E BOULDER ST, SUITE 600, COLORADO SPRINGS, CO 80909-5533
(719) 364-6487
(719) 364-6488
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50-003746
OH
363A00000X
Physician Assistant
Primary
PA.0004053
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54881552
—
CO
Enumeration date
03/19/2013
Last updated
03/23/2016
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