Arizona
Board of Licensing
Walter R. Fairfax MD
Medical Doctor
License number
12070
Date granted
07/01/1980
Class
Medical Doctor
Status
Canceled
Address
1148 Charlton Ave, Salt Lake City UT 84106-2604
arizonalicensing.com
ID 22603022
LAST UPDATED 2024-03-21 09:18:41 UTC
LAST UPDATED 2024-03-21 09:18:41 UTC