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Contact Information

GRANT A. FAIRBANKS, MD PC
520 MEDICAL DR
SUITE 210
BOUNTIFUL, UT84010-4968
 Phone: 801-268-8838
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for GRANT A. FAIRBANKS, MD PC

NPI Number 1891008777
LBN Legal business name GRANT A. FAIRBANKS, MD PC
Authorized official GRANT FAIRBANKS - (PROVIDER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/20/2010
Last updated 11/20/2015 - About 11 years ago
Identifiers
UT License # 2744901205
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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