Robert Anthony Fairfax in Spokane - Physician Assistant

Robert Anthony Fairfax - NPI 1063408052

Robert Anthony Fairfax is a Physician Assistant in Spokane, Washington. Robert Anthony Fairfax practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Robert Anthony Fairfax is 1063408052. The last update date is 2021-05-18.

Robert Anthony Fairfax's current location address is Po Box 421, Spokane, Washington. You can contact this provider via phone number 8667472455 and fax number 5092277070. The mailing address for Robert Anthony Fairfax is Po Box 421, Spokane, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert Anthony Fairfax
Address Po Box 421, Spokane, Washington
Phone Number 8667472455
Fax Number 5092277070
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1063408052
Provider Enumeration Date 2005-09-23
Last Updated Date 2021-05-18

Provider Mailing Address Detail

Address Po Box 421
City Spokane
State Washington (WA)
Post Code 992100421
Phone Number 8667472455
Fax Number 5092277070

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA10003111
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
166417 WA LABOR & INDUSTRIES
806204300 ID --
970030113 RAILROAD MEDICARE
7628FA WA ASURIS NW HEALTH
8323370 WA --
10142789 BLUE SHIELD OF IDAHO

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FAQs about Robert Anthony Fairfax

What is the unique 10-digit identification code assigned to Robert Anthony Fairfax by the Centers for Medicare & Medicaid Services?

The Robert Anthony Fairfax has been issued the NPI (National Provider Identifier) 1063408052, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Robert Anthony Fairfax's facilities are situated?

The facilities of Robert Anthony Fairfax are physically located at the following address: Po Box 421, Spokane, WA, 992100421.

What is Robert Anthony Fairfax's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Robert Anthony Fairfax is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1063408052 to Robert Anthony Fairfax?

The Centers for Medicare & Medicaid Services originally issued the 1063408052 to Robert Anthony Fairfax on 2005-09-23.

As of what date was the information regarding Robert Anthony Fairfax, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Robert Anthony Fairfax, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-05-18.

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