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Contact Information

MARY JO YOUNG, MD
HOLY CROSS MEDICAL CENTER PRIMARY CARE CLINIC
1329 GUSDORF ROAD
TAOS, NM87571
 Phone: 575-737-3416
 Fax: 575-737-3416
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MARY JO YOUNG · (Female)

NPI # 1386771954
Status Active
Credentials MD
Entity Individual
Enumeration date 02/28/2007
Last updated 11/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 37019
  • NM License # MD2023-1249
  • CO Medicaid 95673768
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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