Organization
MICHAEL G PHARRIS OD PC
Active
Other names
Adventure Dental and Vision
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMANTHA B LEBLANC (CREDENTIALING SPECIALIST)
(719) 323-2372
Entity
Organization
Contact information
Practice address
1253 W PRATT ST, BALTIMORE, MD 21223-2684
(410) 727-4746
(410) 727-6767
Mailing address
2221 E BIJOU ST., STE. 100, COLORADO SPRINGS, CO 80909
(410) 727-4746
(410) 727-6767
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304036400
—
MD
Enumeration date
03/06/2008
Last updated
09/09/2025
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