ROBERT K FAIRBANKS, MD, Radiation Oncology LEWISTON, ID

Contact Information

ROBERT K FAIRBANKS, MD

504 6TH ST
LEWISTON, ID 83501-2439

Phone: 208-799-5600
Fax: 208-799-5755
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiation Oncology	2085R0001X	92	Physician/Radiation Oncology

Indicates primary specialty

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NPI Profile & details for ROBERT K FAIRBANKS · (Male)

NPI Number	`1821084781`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	09/26/2005
Last updated	08/05/2024 - More than a year ago
Sole proprietor ¹	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(s)	GRITMAN MEDICAL CENTER - (Critical Access) 700 SOUTH MAIN STREET MOSCOW, ID 83843 PULLMAN REGIONAL HOSPITAL - (Critical Access) 835 S BISHOP BLVD PULLMAN, WA 99163 ST JOSEPH REGIONAL MEDICAL CENTER - (Acute Care) 415 SIXTH STREET LEWISTON, ID 83501 ST MARYS HOSPITAL - (Critical Access) 701 LEWISTON ST COTTONWOOD, ID 83522 TRI-STATE MEMORIAL HOSPITAL - (Critical Access) 1221 HIGHLAND AVENUE CLARKSTON, WA 99403

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.

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ROBERT K FAIRBANKS, MD – NPI #1821084781Radiation Oncology

Contact Information

Specialty

Radiation Oncology

NPI Profile & details for ROBERT K FAIRBANKS · (Male)

Reviews for ROBERT K FAIRBANKS

ROBERT K FAIRBANKS, MD – NPI #1821084781
Radiation Oncology