GRANT R FAIRBANKS MD PC NPI 1578699039

NPI Details

GRANT R FAIRBANKS MD PC is a plastic surgery in Salt Lake City, UT. The provider is 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 cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. GRANT R FAIRBANKS MD PC NPI is 1578699039. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1151 EAST 3900 SOUTH
SUITE B110
SALT LAKE CITY, UT
ZIP 84124
Phone: (801) 268-8838
Fax: (801) 268-8264

The provider's authorized official is Grant R Fairbanks .
The authorized official title is Medical Doctor and has the following contact phone number (801) 268-8838.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 8/13/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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