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Walter Raymond Fairfax, MD
Critical Care Medicine (Internal Medicine) Physician in Coeur D Alene, Idaho
NPI 1124170170

Walter Raymond Fairfax is a Critical Care Medicine (Internal Medicine) Physician based in Coeur D Alene, ID and is specialized in Critical Care Medicine. Walter Raymond Fairfax practices in Coeur D Alene, ID and has the professional credentials of MD. The NPI Number for Walter Raymond Fairfax is 1124170170 and holds a License No. M11477 (Idaho).

The current practice location address for Walter Raymond Fairfax is 2003 Kootenai Health Way, Coeur D Alene, ID and can be reached out via phone at 208-625-4000.

Location: 2003 Kootenai Health Way, Coeur D Alene, ID, 83814-6051
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Provider Profile Details
NPI Number
1124170170
Provider Name
Walter Raymond Fairfax
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2003 Kootenai Health Way, Coeur D Alene, ID, 83814-6051
Phone Number
208-625-4000
Fax Number
Provider Enumeration Date
01/18/2007
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000096870 01 MT BCBS PIN
0011135 01 MT MDCD PIN
105079600 01 WY MDCD PIN
institution
Provider Business Practice Location Address Details
Address
2003 Kootenai Health Way
City
State
Zip
83814-6051
Phone Number
208-625-4000
Fax Number
person
Provider Business Mailing Address Details
Address
2003 Kootenai Health Way
City
State
Zip
83814-6051
Phone Number
208-625-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Critical Care Medicine
Taxonomy
License No.
M11477 (Idaho)
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
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