Provider Demographics
NPI:1326029745
Name:FAIRLAMB, JAMES E (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:FAIRLAMB
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1605 E BROADWAY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-8023
Mailing Address - Country:US
Mailing Address - Phone:573-256-7700
Mailing Address - Fax:573-256-3004
Practice Address - Street 1:1605 E BROADWAY STE 300
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-8023
Practice Address - Country:US
Practice Address - Phone:573-256-7700
Practice Address - Fax:573-256-3003
Is Sole Proprietor?:No
Enumeration Date:2005-11-11
Last Update Date:2023-07-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2003011622207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOI35690Medicare UPIN