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
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
Authorized Official Name Fairbanks R Grant
Credentials MD
Telephone Number 8012688838

NPI Number Detail

NPI Number 1578699039
Provider Enumeration Date 2007-02-26
Last Updated Date 2008-08-13

Provider Mailing Address Detail

Address 1151 East 3900 South
City Salt Lake City
State Utah (UT)
Post Code 84124
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 Md Pc

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.

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