Provider Demographics
NPI:1790028041
Name:YORK, PHILIP JUSTIN (MD)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:JUSTIN
Last Name:YORK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5958 S HOLLY ST
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4221
Mailing Address - Country:US
Mailing Address - Phone:303-214-1055
Mailing Address - Fax:303-214-1055
Practice Address - Street 1:5958 S HOLLY ST
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-4221
Practice Address - Country:US
Practice Address - Phone:303-214-1055
Practice Address - Fax:303-214-1055
Is Sole Proprietor?:No
Enumeration Date:2013-04-04
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0054804207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1790028041OtherPHYSICIAN PRACTICE - PHILIP YORK