Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GRANT ANDREAS FAIRBANKS, MD
ActiveDR. GRANT ANDREAS FAIRBANKS, MD is a Plastic Surgery healthcare provider located in SOUTH JORDAN, Utah. NPI 1013056357 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · SOUTH JORDAN, UT
Registration Details
- NPI Number
- 1013056357
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 5, 2007 (19.493244310638 yrs)
- Last Updated
- Apr 2, 2025
- License
-
2744901205 (UT)
Practice Information
- Address
-
10382 S JORDAN GTWY STE 100SOUTH JORDAN, UT, 840954135Browse UT providers · Browse ZIP 84095
- Phone
- 8019518099
- Fax
- 8019518098
- Primary Specialty
-
Plastic Surgery
208200000X
Other Plastic Surgery Providers in SOUTH JORDAN, UT
| Name | Credential | NPI |
|---|---|---|
| DR. BRYAN VERN SONNTAG | MD | 1558418673 |
| DR. JEREMY ROBERT CHIDESTER | M.D. | 1194015693 |
| BRYAN PYFER | — | 1568825719 |
| MAKAYLA NELSON | — | 1285195743 |
| RYLEE FAYE WOODWARD | LME | 1508522442 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.