GRANT ANDREAS FAIRBANKS

SALT LAKE CITY, UT
NPI1013056357
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208200000X Plastic Surgery
(Licence: UT  2744901205)
Enumeration Date2007-02-05
Last Update Date2015-11-24
Business Address
Dr. GRANT ANDREAS FAIRBANKS MD
1151 EAST 3900 SOUTH SUITE #B110
SALT LAKE CITY, UT 84124
Phone number: 801-268-8838
Mailing Address
Dr. GRANT ANDREAS FAIRBANKS MD
520 MEDICAL DR 210
BOUNTIFUL, UT 84010-8903
Phone number: 801-701-8688
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