BRETT ALLEN FAIR

POUDRE VALLEY MEDICAL GROUP LLC

Dr BRETT ALLEN FAIR is a male medical professional, specializing in General Surgery. He graduated in 2012 from University Of North Carolina At Chapel Hill School Of Medicine.

Contact

POUDRE VALLEY MEDICAL GROUP LLC

1400 E BOULDER ST
600 UCHMG GENERAL AND VASCULAR SURGERY
COLORADO SPRINGS
CO
809095533

Tel: 7193646487

BRETT ALLEN FAIR Information

Npi 1043570161
Pac Id 1355648940
Professional Enrollment Id I20180905002205
Last Name FAIR
First Name BRETT
Middle Name ALLEN
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduation Year 2012
Primary Specialty GENERAL SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name POUDRE VALLEY MEDICAL GROUP LLC
Group Practice Pac Id 9638208549
Number Of Group Practice Members 1002
Line 1 Street Address 1400 E BOULDER ST
Line 2 Street Address 600 UCHMG GENERAL AND VASCULAR SURGERY
Marker Of Address Line 2 Suppression
City COLORADO SPRINGS
State CO
Zip Code 809095533
Phone Number 7193646487
Hospital Affiliation Ccn 1 060022
Hospital Affiliation Lbn 1 UCH-MEMORIAL HEALTH SYSTEM
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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