Individual
DR. JON FAIRFAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1350 S KING ST, SUITE 325, HONOLULU, HI 96814-2008
(808) 591-9116
(808) 591-9655
Mailing address
1350 S KING ST, SUITE 325, HONOLULU, HI 96814-2008
(808) 591-9116
(808) 591-9655
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD7739
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01976602
—
HI
Enumeration date
11/06/2006
Last updated
10/11/2007
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