Grant R Fairbanks Md Pc

LBN: Grant R Fairbanks Md Pc
Grant R Fairbanks Md Pc is an health care organization with primary practice located at 1151 East 3900 South Suite B110, Salt Lake City UT 84124. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Grant R Fairbanks Md Pc can be contacted via phone (801) 268-8838, or through Fairbanks, Grant R via phone (801) 268-8838.

Contact Information

Primary practice address
1151 East 3900 South Suite B110 Salt Lake City UT 84124
Phone: (801) 268-8838
Fax: (801) 268-8264
Website:
Map and Directions
Authorized official contact:
Name: Fairbanks, Grant R Doctor of Medicine (MD)
Phone: (801) 268-8838

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 1487731205 Utah

Profile Details

NPI number 1578699039
LBN Legal business name Grant R Fairbanks Md Pc
DBA Doing business as
Authorized official Fairbanks, Grant R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
Last updated Aug 13th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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