National Provider Identifier Database

ROBERT K FAIRBANKS, MD – NPI #1821084781
Radiation Oncology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.


Contact Information

ROBERT K FAIRBANKS, MD
504 6TH ST
LEWISTON, ID83501-2439
Phone: 208-799-5600
Fax: 208-799-5755
Website:
Specialty Taxonomy Code
* Radiation Oncology 2085R0001X

* Indicates primary specialty

NPI Profile & details for ROBERT K FAIRBANKS

NPI Number 1821084781
Credentials MD
Entity Individual
Enumeration date 09/26/2005
Last updated 08/05/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • WA License #: MD00037655
  • ID Medicaid: 805949200
  • WA Medicaid: 8243958
  • Other: 5034131 AETNA
  • Other: K0716 BLUE CROSS OF IDAHO
  • Other: 000010032648 BLUE SHIELD OF IDAHO
  • Other: 920006292 RAILROAD MEDICARE
  • WA Other: 3070FA ASURIS NW HEALTH
  • WA Other: 0144615 LABOR & INDUSTRIES
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for ROBERT K FAIRBANKS, MD

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