DR. GRANT FAIRBANKS, MD

Plastic Surgery

Active Individual
NPI: 1861531105

Practice Address

1151 E 3900 S
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 1861531105 is the National Provider Identifier for DR. GRANT FAIRBANKS, MD, a Plastic Surgery provider located in Salt Lake City, UT. This NPI was enumerated on February 5, 2007.
DR. GRANT FAIRBANKS, MD practices at 1151 E 3900 S, SUITE B110, Salt Lake City, UT 84124.

Quick Facts

NPI
1861531105
Type
Individual
Enumerated
Feb 5, 2007
Last Updated
Jan 4, 2013

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