Individual
DR. GRANT ANDREAS FAIRBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10382 S JORDAN GTWY STE 100, SOUTH JORDAN, UT 84095-4135
(801) 951-8099
(801) 951-8098
Mailing address
10382 S JORDAN GTWY STE 100, SOUTH JORDAN, UT 84095-4135
(801) 951-8099
(801) 951-8098
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
2744901205
UT
Other
Enumeration date
02/05/2007
Last updated
04/02/2025
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