Individual
MARY E FAINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1309 SUNSET ST, LONGMONT, CO 80501-3215
(303) 772-5578
(303) 772-8207
Mailing address
2030 MOUNTAIN VIEW AVE, STE 540, LONGMONT, CO 80501-3183
(303) 772-5578
(303) 772-8207
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33433
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01334333
—
CO
Enumeration date
06/01/2005
Last updated
03/28/2017
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