Individual
DR. PAUL FRANCIS FAIRBROTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
517 WILTON CREEK RD, HARTFIELD, VA 23071-3032
(717) 480-7105
Mailing address
517 WILTON CREEK RD, HARTFIELD, VA 23071
(717) 480-7105
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD037786L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001156
HIGHMARK BLUE SHIELD
PA
01
—
3432283
AETNA HMO PROVIDER NUMBER
PA
01
—
4267790
AETNA PPO PROVIDER NUMBER
PA
01
—
50026621
CAPITAL BLUE CROSS
PA
Enumeration date
01/17/2006
Last updated
12/10/2013
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