Individual
DAVID G FARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5901 CORPORATE DR, COLORADO SPRINGS, CO 80919-1941
(719) 442-6661
(719) 598-2775
Mailing address
2860 S CIRCLE DR, COLORADO SPRINGS, CO 80906-4113
(719) 540-2100
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1107
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C473508
MEDICARE-GROUP
CO
Enumeration date
05/04/2006
Last updated
03/28/2023
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