person
Robert Kenneth Fairbanks, MD
Radiation Oncology Physician in Lewiston, Idaho
NPI 1821084781

Robert Kenneth Fairbanks is a Radiation Oncology Physician based in Lewiston, ID and is specialized in Radiation Oncology. Robert Kenneth Fairbanks practices in Lewiston, ID and has the professional credentials of MD. The NPI Number for Robert Kenneth Fairbanks is 1821084781 and holds a License No. MD00037655 (Idaho).

The current practice location address for Robert Kenneth Fairbanks is 504 6Th St, Lewiston, ID and can be reached out via phone at 208-799-5600 and via fax at 208-799-5755.

Location: 504 6Th St, Lewiston, ID, 83501-0239
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Provider Profile Details
NPI Number
1821084781
Provider Name
Robert Kenneth Fairbanks
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
504 6Th St, Lewiston, ID, 83501-0239
Phone Number
208-799-5600
Fax Number
208-799-5755
Provider Enumeration Date
09/26/2005
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8243958 05 WA
000010032648 01 BLUE SHIELD OF IDAHO
0144615 01 WA LABOR & INDUSTRIES
805949200 05 ID
3070FA 01 WA ASURIS NW HEALTH
920006292 01 RAILROAD MEDICARE
5034131 01 AETNA
K0716 01 BLUE CROSS OF IDAHO
institution
Provider Business Practice Location Address Details
Address
504 6Th St
City
State
Zip
83501-2439
Phone Number
208-799-5600
Fax Number
208-799-5755
person
Provider Business Mailing Address Details
Address
504 6Th St
City
State
Zip
83501-2439
Phone Number
208-799-5600
Fax Number
208-799-5755
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
License No.
MD00037655 (Washington)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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