| Douglas A Fairbairn Mdllc | |
|
6816 Otis St Arvada CO 80003-4067 | |
| (303) 559-1111 | |
| (303) 420-9349 |
| Full Name | Douglas A Fairbairn Mdllc |
|---|---|
| Speciality | Family Medicine |
| Location | 6816 Otis St, Arvada, Colorado |
| Authorized Official Name and Position | Douglas Aumiller Fairbairn (OWNER) |
| Authorized Official Contact | 3035591111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas A Fairbairn Mdllc 1978 S Garrison St 101 Lakewood CO 80227-2282 Ph: (303) 988-1559 | Douglas A Fairbairn Mdllc 6816 Otis St Arvada CO 80003-4067 Ph: (303) 559-1111 |
| NPI Number | 1013087055 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 11/08/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013087055 | NPI | - | NPPES |
| 91232830 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 24649 (Colorado) | Primary |
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