GRANT R FAIRBANKS MD PC

Plastic Surgery

Active Organization
NPI: 1578699039

Practice Address

1151 EAST 3900 SOUTH
SUITE B110
Salt Lake City, UT 84124

Phone: (801) 268-8838

Specialties

Specialty Code Primary License
Plastic Surgery 208200000X Yes 1487731205 (UT)

Frequently Asked Questions

NPI 1578699039 is the National Provider Identifier for GRANT R FAIRBANKS MD PC, a Plastic Surgery provider located in Salt Lake City, UT. This NPI was enumerated on February 26, 2007.

Quick Facts

NPI
1578699039
Type
Organization
Enumerated
Feb 26, 2007
Last Updated
Aug 13, 2008

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