Provider Demographics
NPI:1851146674
Name:PHARIS, ELIZA CLAIRE
Entity type:Individual
Prefix:
First Name:ELIZA
Middle Name:CLAIRE
Last Name:PHARIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5268 SNOW GOOSE ST
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-5344
Mailing Address - Country:US
Mailing Address - Phone:720-339-8671
Mailing Address - Fax:
Practice Address - Street 1:5268 SNOW GOOSE ST
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-5344
Practice Address - Country:US
Practice Address - Phone:720-339-8671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist