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1124170170
WALTER RAYMOND FAIRFAX
COEUR D ALENE, ID
NPI
1124170170
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: ID M11477)
Enumeration Date
2007-01-18
Last Update Date
2024-04-16
Business Address
WALTER RAYMOND FAIRFAX MD
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814-6051
Phone number: 208-625-4000
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Mailing Address
WALTER RAYMOND FAIRFAX MD
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814-6051
Phone number: 208-625-4000
Copy
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