Grant R Fairbanks Md Pc in Salt Lake City - Plastic Surgery
Grant R Fairbanks Md Pc - NPI 1578699039
Grant R Fairbanks Md Pc is a Plastic Surgery in Salt Lake City, Utah. Grant R Fairbanks Md Pc practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Grant R Fairbanks Md Pc is 1578699039. The last update date is 2008-08-13.
Grant R Fairbanks Md Pc's current location address is 1151 East 3900 South, Salt Lake City, Utah. You can contact this provider via phone number 8012688838 and fax number 8012688264. The mailing address for Grant R Fairbanks Md Pc is 1151 East 3900 South, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Grant R Fairbanks Md Pc |
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Address | 1151 East 3900 South, Salt Lake City, Utah |
Phone Number | 8012688838 |
Fax Number | 8012688264 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MEDICAL DO |
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Authorized Official Name | Fairbanks R Grant |
Credentials | MD |
Telephone Number | 8012688838 |
NPI Number Detail
NPI Number | 1578699039 |
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Provider Enumeration Date | 2007-02-26 |
Last Updated Date | 2008-08-13 |
Provider Mailing Address Detail
Address | 1151 East 3900 South |
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City | Salt Lake City |
State | Utah (UT) |
Post Code | 84124 |
Phone Number | 8012688838 |
Fax Number | 8012688264 |
Provider's Primary Taxonomy Detail
Speciality | Plastic Surgery |
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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 |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Grant R Fairbanks Md Pc by the Centers for Medicare & Medicaid Services?
The Grant R Fairbanks Md Pc has been issued the NPI (National Provider Identifier) 1578699039 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Grant R Fairbanks Md Pc is geographically located?
The Grant R Fairbanks Md Pc is physically situated at the following location: 1151 East 3900 South, Salt Lake City, UT, 84124.
What is the Grant R Fairbanks Md Pc's specialty and taxonomy code?
The Grant R Fairbanks Md Pc's specialty is Plastic Surgery, and the corresponding taxonomy code is 208200000X.
On what date was the 1578699039 assigned to Grant R Fairbanks Md Pc?
The Grant R Fairbanks Md Pc was issued its 1578699039 on 2007-02-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Grant R Fairbanks Md Pc's details last updated?
The information pertaining to the Grant R Fairbanks Md Pc, including its address, specialty, and other details, was most recently updated on 2008-08-13.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC