Individual
DR. ENE THERESE RAIG FAIRCHILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
3535 OLENTANGY RIVER RD, COLUMBUS, OH 43214
(614) 566-4731
Mailing address
6549 BALLANTRAE PL, DUBLIN, OH 43016-6050
(614) 209-7040
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.123030
OH
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
35.123030
OH
Other
Enumeration date
03/25/2012
Last updated
07/23/2018
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