NPI 1023059250

Dan S Fairman, MD

Practitioner Internal Medicine Physician Ketchum, ID

Practice location

Address: 100 Hospital Drive, Ketchum, ID 83340
Phone: (208) 727-8888
Mailing address: PO Box 100, Ketchum, ID 83340-0100

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence M4921 (ID)

Other Internal Medicine providers in Idaho →

Registry record

NPI: 1023059250
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jun 2006
Record last updated: 30 Jan 2013

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.