Walter Raymond Fairfax, MD
NPI #1124170170 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1124170170
- Entity Type
- Individual
- Name
- Walter Raymond Fairfax, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine - Critical Care Medicine
- Credential
- MD
- Enumeration Date
- Jan 18, 2007
- Last Updated
- Apr 16, 2024
Practice Location
- Address
- 2003 KOOTENAI HEALTH WAY
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83814-6051
- Phone
- (208) 625-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Critical Care Medicine — Critical Care Medicine |
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