Fairbourn, Phillip
Fairbourn, Phillip is an individual health care provider with primary practice located at 1490 E Foremaster Dr Bldg C , St George UT 84790-4550. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Fairbourn, Phillip can be contacted via phone (801) 812-4624.Contact Information
Primary practice address
1490 E Foremaster Dr Bldg C
St George UT 84790-4550
Phone: (801) 812-4624
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | Q8471 | Texas |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 10800395-1205 | Utah |
Profile Details
NPI number | 1801182357 |
---|---|
LBN Legal business name | Fairbourn, Phillip |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 23rd, 2011 |
Last updated | Sep 9th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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