Whalio Doctors

NPI 1134224512

Tracy Marie Fairbanks, MD

Practitioner Family Medicine Physician Bozeman, MT

Practice location

Address
935 Highland Blvd STE 2200, Bozeman, MT 59715-6915
Phone
(406) 414-5700
Fax
(406) 586-9671
Mailing address
915 Highland Blvd, Bozeman, MT 59715-6902

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 9807 (MT)

Registry record

NPI
1134224512
Entity type
Individual
Sex (as registered)
Female
NPI issued
13 Sep 2006
Record last updated
9 Apr 2025

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.