Individual
DR. RON G FAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1001 E BRIDGE ST STE A, BRIGHTON, CO 80601-2275
(303) 659-3036
(303) 659-0053
Mailing address
1001 E BRIDGE ST STE A, BRIGHTON, CO 80601-2276
(303) 659-3036
(303) 659-0053
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
645
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08006454
—
CO
01
—
C1376536268
NPI NUMBER
CO
Enumeration date
08/25/2005
Last updated
05/12/2008
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