Individual
ROLLIN J FAIRBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 IRVING ST NW, EMERGENCY DEPARTMENT, WASHINGTON, DC 20010-3017
(202) 877-8800
Mailing address
110 IRVING ST NW, EMERGENCY DEPARTMENT, WASHINGTON, DC 20010-3017
(202) 877-8800
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD038858
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02423678
—
NY
01
—
MD038858
LICENSE NUMBER
DC
Enumeration date
07/09/2006
Last updated
08/15/2016
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