# DOUGLAS A FAIRBAIRN MDLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013087055
- **Authorized official:** DOUGLAS AUMILLER FAIRBAIRN MD (OWNER)
- **Authorized official phone:** (303) 559-1111

## Contact information

- **Practice address:** 6816 OTIS ST, ARVADA, CO 80003-4067
- **Practice address phone:** (303) 559-1111
- **Practice address fax:** (303) 420-9349
- **Mailing address:** 1978 S GARRISON ST, 101, LAKEWOOD, CO 80227-2282
- **Mailing address phone:** (303) 988-1559
- **Mailing address fax:** (303) 988-1603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 24649 | CO | Yes |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 11/08/2007