Organization
DOUGLAS A FAIRBAIRN MDLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS AUMILLER FAIRBAIRN MD (OWNER)
(303) 559-1111
Entity
Organization
Contact information
Practice address
6816 OTIS ST, ARVADA, CO 80003-4067
(303) 559-1111
(303) 420-9349
Mailing address
1978 S GARRISON ST, 101, LAKEWOOD, CO 80227-2282
(303) 988-1559
(303) 988-1603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24649
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91232830
—
CO
Enumeration date
11/08/2006
Last updated
11/08/2007
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