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Individual

DOUGLAS BRUCE DEYOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
313 W DRAKE RD, FORT COLLINS, CO 80526-2846
(970) 482-8881
(970) 482-9646
Mailing address
4674 SNOW MESA DR, STE 140, FORT COLLINS, CO 80528-8615
(970) 225-5043
(970) 482-9646

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27536
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1275361
CO
01
DE27536
BCBS
CO
Enumeration date
08/15/2005
Last updated
11/18/2015
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