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

DR. GRANT R FAIRBANKS, MD

Active

DR. GRANT R FAIRBANKS, MD is a Plastic Surgery healthcare provider located in SALT LAKE CITY, Utah. NPI 1861531105 is currently active in the NPPES registry. Verify at CMS.

Plastic Surgery · SALT LAKE CITY, UT

Registration Details

NPI Number
1861531105
Provider Type
Individual
Gender
Male
NPI Issued
Feb 5, 2007 (19.495563025398 yrs)
Last Updated
Jan 4, 2013
License
1487731205 (UT)

Practice Information

Address
1151 E 3900 S
SUITE B110
SALT LAKE CITY, UT, 841241216
Browse UT providers · Browse ZIP 84124
Phone
8012688838
Fax
8012688264
Primary Specialty
Plastic Surgery
208200000X

Other Plastic Surgery Providers in SALT LAKE CITY, UT

Name Credential NPI
JUNE S. CHEN M.D. 1942207048
DR. LOUIS MORALES JR. M.D. 1821060948
DR. RODNEY E SCHMELZER M.D., PLLC 1487626297
GARY R. HUNTER M.D. 1407880818
ANGELA M KEEN MD 1487670881
DR. DAVID SNOW THOMAS M.D. 1245335397
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.