NPI 1003202847

Shan R Fairbanks, DO

Practitioner Family Medicine Physician Dublin, VA

Practice location

Address: 118 Broad St, Dublin, VA 24084-3211
Phone: (540) 674-8805
Fax: (540) 674-8670
Mailing address: 213 S Jefferson St STE 625, Roanoke, VA 24011-1713

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 0102204926 (VA)

Other Family Medicine providers in Virginia →

Sports Medicine (Family Medicine) Physician

Allopathic & Osteopathic Physicians Taxonomy 207QS0010X Licence 0102204926 (VA)

Registry record

NPI: 1003202847
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Apr 2015
Record last updated: 16 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.