Shan R Fairbanks, D.O.

NPI #1003202847 in Dublin, Virginia

Provider Information

NPI Number: 1003202847
Entity Type: Individual
Name: Shan R Fairbanks, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Apr 8, 2015
Last Updated: Jun 16, 2021

Practice Location

Address: 118 BROAD ST
City: Dublin
State: Virginia
ZIP Code: 24084-3211
Phone: (540) 674-8805

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Family Medicine - Sports Medicine — Sports Medicine	207QS0010X

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