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Individual

DR. RODNEY D 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
1123
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08011231
CO
01
1568455400
NPI NUMBER
CO
Enumeration date
08/25/2005
Last updated
05/12/2008
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