Individual
STEVEN NATHANIEL FAIRBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 524-0146
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 524-0146
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD-000917
AZ
Other
Enumeration date
05/06/2015
Last updated
11/16/2018
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