| Doctor Name: | GARY VINT YORK |
| NPI Number: | 1043379621 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | NA |
| Business Practice Address: | 4212 Fernbrook Dr Loveland, CO - 805389412 |
| Business Phone Number: | 9706630133 |
| Business Fax Number: | 9706631153 |
| Mailing Address: | 4212 Fernbrook Dr, LOVELAND |
| State: | CO |
| Postal Code: | 805389412 |
| Phone Number: | 9706630133 |
| Fax Number: | 9706631153 |
| NPI Enumeration Date: | 12/08/2006 |
| NPI Last Update Date: | 02/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171WH0202X |
| License Number: | NA |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Contractor |
| Taxonomy Specialization: | Home Modifications |
| Taxonomy Definition: | |