Vaughn Roger Fairbanks, DC

NPI #1659593614 in Moses Lake, Washington

Provider Information

NPI Number: 1659593614
Entity Type: Individual
Name: Vaughn Roger Fairbanks, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: May 2, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 414 SOUTH BEECH STREET
City: Moses Lake
State: Washington
ZIP Code: 98837
Phone: (509) 765-9235

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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