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Individual

DR. JOHN YU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(352) 867-8898
(352) 732-6282
Mailing address
DEPT # 1029, DENVER, CO 80263-0001
(352) 867-8898
(352) 732-6282

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME40668
CO
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME40668
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050089265
RAILROAD MEDICARE
CO
05
053832566
CO
01
472198
ANTHEM/BLUE CROSS
CO
Enumeration date
05/16/2006
Last updated
12/13/2010
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