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Individual

DR. RICK MICHAEL FAIRHURST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
12735 TWINBROOK PKWY, ROOM 3E-10A, ROCKVILLE, MD 20852-1770
(301) 402-7393
(301) 402-2201
Mailing address
12735 TWINBROOK PKWY, ROOM 3E-10A, ROCKVILLE, MD 20852-1770
(301) 402-7393
(301) 402-2201

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0058080
MD

Other

Enumeration date
01/31/2014
Last updated
01/31/2014
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