Individual
DR. DOROTHY ELLEN FARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1333 IRIS AVENUE, BOULDER, CO 80304-2296
(303) 443-8500
Mailing address
1333 IRIS AVENUE, BOULDER, CO 80304-2296
(303) 443-8500
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35841
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01358415
—
CO
Enumeration date
07/19/2006
Last updated
07/08/2007
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