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Vaughn Roger Fairbanks, DC
Chiropractor in Moses Lake, Washington
NPI 1659593614

Vaughn Roger Fairbanks is a Chiropractor based in Moses Lake, WA. Vaughn Roger Fairbanks practices in Moses Lake, WA and has the professional credentials of DC. The NPI Number for Vaughn Roger Fairbanks is 1659593614 and holds a License No. CH00003350 (Washington).

The current practice location address for Vaughn Roger Fairbanks is 414 South Beech Street, Moses Lake, WA and can be reached out via phone at 509-765-9235 and via fax at 509-765-9235.

Location: 414 South Beech Street, Moses Lake, WA, 98837
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659593614
Provider Name
Vaughn Roger Fairbanks
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
414 South Beech Street, Moses Lake, WA, 98837
Phone Number
509-765-9235
Fax Number
509-765-9235
Provider Enumeration Date
05/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
111104 01 WA STATE DLI
FAIVA0200461618 01 WA PREMERA BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
414 South Beech Street
City
Moses Lake
State
Washington
Zip
98837
Phone Number
509-765-9235
Fax Number
509-765-9235
person
Provider Business Mailing Address Details
Address
414 South Beech Street
City
Moses Lake
State
Washington
Zip
98837
Phone Number
509-765-9235
Fax Number
509-765-9235
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH00003350 (Washington)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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