Grant Andreas Fairbanks in Bountiful - Plastic Surgery

Grant Andreas Fairbanks - NPI 1013056357

Grant Andreas Fairbanks is a Plastic Surgery in Bountiful, Utah. Grant Andreas Fairbanks practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Grant Andreas Fairbanks is 1013056357. The last update date is 2015-11-24.

Grant Andreas Fairbanks's current location address is 520 Medical Dr 210, Bountiful, Utah. You can contact this provider via phone number 8017018688 and fax number 8017018689. The mailing address for Grant Andreas Fairbanks is 520 Medical Dr 210, Bountiful, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Grant Andreas Fairbanks
Address 520 Medical Dr 210, Bountiful, Utah
Phone Number 8017018688
Fax Number 8017018689
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1013056357
Provider Enumeration Date 2007-02-05
Last Updated Date 2015-11-24

Provider Mailing Address Detail

Address 520 Medical Dr 210
City Bountiful
State Utah (UT)
Post Code 840108903
Phone Number 8017018688
Fax Number 8017018689

Provider's Primary Taxonomy Detail

Speciality Plastic Surgery
Taxonomy 208200000X
Licence No 2744901205
Definition:
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c

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FAQs about Grant Andreas Fairbanks

What is the unique identification code assigned to Grant Andreas Fairbanks by the Centers for Medicare & Medicaid Services?

The Grant Andreas Fairbanks has been issued the NPI (National Provider Identifier) 1013056357. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Grant Andreas Fairbanks?

The Grant Andreas Fairbanks is situated at 520 Medical Dr 210, in the city of Bountiful, state of UT, with the zip code 840108903.

What is the area of specialization for Grant Andreas Fairbanks, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Grant Andreas Fairbanks is Plastic Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208200000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1013056357 to Grant Andreas Fairbanks?

The Centers for Medicare & Medicaid Services assigned the 1013056357 to Grant Andreas Fairbanks on 2007-02-05.

When was the information regarding Grant Andreas Fairbanks most recently updated?

The details pertaining to the Grant Andreas Fairbanks, including its address, specialty, and other relevant information, were last refreshed on 2015-11-24.

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