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1023059250
DAN S FAIRMAN
KETCHUM, ID
NPI
1023059250
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: ID M4921)
Enumeration Date
2006-06-09
Last Update Date
2013-01-30
Business Address
DAN S FAIRMAN MD
100 HOSPITAL DRIVE
KETCHUM, ID 83340
Phone number: 208-727-8888
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Mailing Address
DAN S FAIRMAN MD
PO BOX 100
KETCHUM, ID 83340-0100
Phone number: 208-727-8888
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