GRANT R FAIRBANKS MD PC

SALT LAKE CITY, UT
NPI1578699039
Entity TypeOrganization
Authorized ContactGRANT R FAIRBANKS
Medical Doctor
801-268-8838
Organization Subpart ?No
Primary Taxonomy208200000X Plastic Surgery
(Licence: UT  1487731205)
Enumeration Date2007-02-26
Last Update Date2008-08-13
Business Address
GRANT R FAIRBANKS MD PC
1151 EAST 3900 SOUTH SUITE B110
SALT LAKE CITY, UT 84124
Phone number: 801-268-8838
Mailing Address
GRANT R FAIRBANKS MD PC
1151 EAST 3900 SOUTH SUITE B110
SALT LAKE CITY, UT 84124
Phone number: 801-268-8838