Individual
DR. THOMAS N FAIRCHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
820 S MCCLELLAN ST, SUITE 118, SPOKANE, WA 99204-2457
(509) 747-3147
(509) 747-0020
Mailing address
3032 S JEFFERSON ST, SPOKANE, WA 99203-1340
(509) 747-7649
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD 00017789
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0151251
L&I
WA
01
—
340018624
RRB
WA
05
—
8547101
—
WA
Enumeration date
08/25/2006
Last updated
04/19/2012
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