Grant R Fairbanks in Salt Lake City - Plastic Surgery

Grant R Fairbanks - NPI 1861531105

Grant R Fairbanks is a Plastic Surgery in Salt Lake City, Utah. Grant R Fairbanks practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Grant R Fairbanks is 1861531105. The last update date is 2013-01-04.

Grant R Fairbanks's current location address is 1151 E 3900 S, Salt Lake City, Utah. You can contact this provider via phone number 8012688838 and fax number 8012688264. The mailing address for Grant R Fairbanks is 1151 E 3900 S, Salt Lake City, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Grant R Fairbanks
Address 1151 E 3900 S, Salt Lake City, Utah
Phone Number 8012688838
Fax Number 8012688264
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1861531105
Provider Enumeration Date 2007-02-05
Last Updated Date 2013-01-04

Provider Mailing Address Detail

Address 1151 E 3900 S
City Salt Lake City
State Utah (UT)
Post Code 841241216
Phone Number 8012688838
Fax Number 8012688264

Provider's Primary Taxonomy Detail

Speciality Plastic Surgery
Taxonomy 208200000X
Licence No 1487731205
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 R Fairbanks

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

The Grant R Fairbanks has been issued the NPI (National Provider Identifier) 1861531105. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Grant R Fairbanks is physically located?

The Grant R Fairbanks is situated at the following address: 1151 E 3900 S, Salt Lake City, UT 841241216.

What is the Grant R Fairbanks's specialty and taxonomy code?

The Grant R Fairbanks's specialty is Plastic Surgery, and the corresponding taxonomy code is 208200000X.

On what date was the 1861531105 assigned to Grant R Fairbanks?

The Grant R Fairbanks was issued its 1861531105 on 2007-02-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Grant R Fairbanks, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Grant R Fairbanks, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-01-04.

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