Individual
DR. MICHAEL J FAIRFAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2451 E BASELINE RD, SUITE 440, GILBERT, AZ 85234-2471
(480) 834-6576
(480) 844-9237
Mailing address
2451 E BASELINE RD, SUITE 440, GILBERT, AZ 85234-2471
(480) 834-6576
(480) 844-9237
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
3039
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
426967
—
AZ
Enumeration date
09/26/2006
Last updated
09/30/2015
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