Idaho
Division of Occupational and Professional Licenses
Dr. WALTER RAYMOND FAIRFAX
Board Of Medicine
License number
M-11477
Date granted
11/01/2011
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2003 Kootenai Health Way Coeur D Alene ID 83814
idaholicensing.com
ID 48334932
LAST UPDATED 2024-04-23 13:56:15 UTC
LAST UPDATED 2024-04-23 13:56:15 UTC
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