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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRANT R FAIRBANKS MD PC

Active Organization

GRANT R FAIRBANKS MD PC is a Plastic Surgery organization located in SALT LAKE CITY, Utah. NPI 1578699039 is currently active in the NPPES registry. Verify at CMS.

Plastic Surgery · SALT LAKE CITY, UT

Registration Details

NPI Number
1578699039
Provider Type
Organization
NPI Issued
Feb 26, 2007 (19.477638902101 yrs)
Last Updated
Aug 13, 2008
License
1487731205 (UT)

Practice Information

Address
1151 EAST 3900 SOUTH
SUITE B110
SALT LAKE CITY, UT, 84124
Browse UT providers · Browse ZIP 84124
Phone
8012688838
Fax
8012688264
Primary Specialty
Plastic Surgery
208200000X

Other Plastic Surgery Organizations in SALT LAKE CITY, UT

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.