Individual
ROBERT FARIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.F.A.
Contact information
Practice address
9539 MAJESTIC RD, LONGMONT, CO 80504-7741
(303) 652-6040
(303) 652-6090
Mailing address
9539 MAJESTIC RD, LONGMONT, CO 80504-7741
(303) 652-6040
(303) 652-6090
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
00F638
CO
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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