KEITH A FAIRBANKS

SILVERDALE, WA
NPI1699903559
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  OP61057968)
Additional Taxonomies207Q00000X Family Medicine
(Licence: VA  0102202929)
Enumeration Date2009-06-30
Last Update Date2021-04-05
Business Address
Dr. KEITH A FAIRBANKS D.O.
10452 SILVERDALE WAY NW
SILVERDALE, WA 98383-9411
Phone number: 360-307-7300
Mailing Address
Dr. KEITH A FAIRBANKS D.O.
10452 SILVERDALE WAY NW
SILVERDALE, WA 98383-9411
Phone number: 360-307-7300