MICHAEL K FAIRBANKS DPM A PROFESSIONAL CORPORATION

SAN DIMAS, CA
NPI1629358411
Entity TypeOrganization
Authorized ContactMICHAEL K FAIRBANKS
Sole Owner
619-465-4972
Organization Subpart ?No
Primary Taxonomy213E00000X Podiatrist
(Licence: CA  E2726)
Enumeration Date2011-08-24
Last Update Date2016-11-09
Business Address
MICHAEL K FAIRBANKS DPM A PROFESSIONAL CORPORATION
425 W BONITA AVE SUITE 110
SAN DIMAS, CA 91773-2541
Phone number: 909-599-0981
Mailing Address
MICHAEL K FAIRBANKS DPM A PROFESSIONAL CORPORATION
7750 EASTRIDGE DR
LA MESA, CA 91941-7882
Phone number: 619-465-4972
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