Individual provider · Type 1 NPI

Timothy Joseph Fairbanks, MD

Pediatric Surgery Physician · San Diego, CA

NPI number 1407010556 Active

Practice location

8010 Frost St, Ste 414
San Diego, CA 92123-2778

Mailing address

3860 Calle Fortunada, Ste #210
San Diego, CA 92123-4802

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XA80244 (CA)
Pediatric Surgery Physician Primary 2086S0120XA80244 (CA)

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

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About NPI 1407010556

Timothy Joseph Fairbanks, MD's National Provider Identifier is 1407010556, issued on Jul 17, 2008. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in San Diego, CA. The record was last updated on Dec 8, 2011.