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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WALTER RAYMOND FAIRFAX, MD

Active

WALTER RAYMOND FAIRFAX, MD is a Critical Care Medicine healthcare provider located in COEUR D ALENE, Idaho. NPI 1124170170 is currently active in the NPPES registry. Verify at CMS.

Critical Care Medicine · COEUR D ALENE, ID

Registration Details

NPI Number
1124170170
Provider Type
Individual
Gender
Male
NPI Issued
Jan 18, 2007 (19.548826250725 yrs)
Last Updated
Apr 16, 2024
License
M11477 (ID)

Practice Information

Address
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID, 838146051
Browse ID providers · Browse ZIP 83814
Phone
2086254000
Primary Specialty
Critical Care Medicine
207RC0200X

Other Critical Care Medicine Providers in COEUR D ALENE, ID

Name Credential NPI
KATHRINE GIARRA 1033615836
LYUDMILA BURKART DO 1699262147
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.