Type 1 individualNPI 1003202847
SHAN R FAIRBANKS D.O.
207Q00000X · DUBLIN, VA
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 207Q00000X | 207Q00000X | Primary |
| 207QS0010X | 207QS0010X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s