Individual
MICHAEL K FAIRBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
425 W BONITA AVE STE 110, SAN DIMAS, CA 91773-2543
(909) 599-0981
Mailing address
425 W BONITA AVE, STE 110, SAN DIMAS, CA 91773-2543
(909) 599-0981
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E2726
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E27260
—
CA
Enumeration date
08/19/2006
Last updated
12/29/2016
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