Search › Nevada › 207Q00000X
Jared Fairbanks, D.O
NPI 1922307974 · on the registry since 2011
Practice
- Address
- 1301 W Sunset Rd Ste 110
Henderson, NV 89014 - Phone
- (702) 968-3275
- Fax
- (702) 968-6154
- Organisation at this address
- Intermountain Medical Holding Nevada, Inc.
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 1815 E Lake Mead Blvd, North Las Vegas, NV
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- AZ, NV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada