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1821084781
ROBERT KENNETH FAIRBANKS
LEWISTON, ID
NPI
1821084781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: WA MD00037655)
Enumeration Date
2005-09-26
Last Update Date
2024-08-05
Business Address
ROBERT KENNETH FAIRBANKS M.D.
504 6TH ST
LEWISTON, ID 83501-2439
Phone number: 208-799-5600
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Mailing Address
ROBERT KENNETH FAIRBANKS M.D.
PO BOX 239
LEWISTON, ID 83501-0239
Phone number: 208-799-5600
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