IndividualActive
David Fairbanks, MD
NPI 1700989969 · Family Medicine Physician · Raton, NM
Provider details
- NPI number
- 1700989969
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 16369 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
203 Hospital Dr
Raton, NM 87740-2012
Phone: (575) 445-7720
Fax: (575) 445-7737
Approximate (ZIP-level) locationGet directions
Mailing address
203 Hospital Dr
Raton, NM 87740-2012
Additional practice locations (1)
- 1055 N 500 WSuite 205Provo, UT 84604-3305Phone: (801) 812-5033
Registry dates
- Enumerated
- 2006-09-06
- Last updated
- 2024-04-30
- Certified
- 2024-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.