Individual
DR. CYNTHIA FAIRFAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2855 E MAGIC VIEW DR, MERIDIAN, ID 83642-6245
(208) 639-4900
(208) 639-4901
Mailing address
2855 E MAGIC VIEW DR, MERIDIAN, ID 83642-6245
(208) 639-4900
(208) 639-4901
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
M-6803
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010000852
BLUE SHIELD BOISE
ID
01
—
000010157304
BLUE SHIELD MERIDIAN
ID
05
—
2571800
—
ID
01
—
75663
BLUE CROSS BOISE
ID
01
—
B5600
BLUE CROSS MERIDIAN
ID
Enumeration date
05/08/2006
Last updated
02/22/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us