Provider Demographics
NPI:1164873857
Name:FARHO, JOHN M (PAC)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:M
Last Name:FARHO
Suffix:
Gender:M
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 E HAMPDEN AVE STE 515
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-3880
Mailing Address - Country:US
Mailing Address - Phone:303-209-2503
Mailing Address - Fax:402-398-9253
Practice Address - Street 1:701 E HAMPDEN AVE STE 515
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-3880
Practice Address - Country:US
Practice Address - Phone:303-209-2503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-24
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2035363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant