IndividualActive
Robert Fairbanks, M.D.
NPI 1821084781 · Radiation Oncology Physician · Lewiston, ID
Provider details
- NPI number
- 1821084781
- Entity type
- Individual
- Primary specialty
- Radiation Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD00037655 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
504 6th St
Lewiston, ID 83501-2439
Phone: (208) 799-5600
Fax: (208) 799-5755
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 239
Lewiston, ID 83501-0239
Registry dates
- Enumerated
- 2005-09-26
- Last updated
- 2024-08-05
- Certified
- 2024-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.