NPI 1013056357

Grant Andreas Fairbanks, MD

Practitioner Plastic Surgery Physician South Jordan, UT

Practice location

Address: 10382 S Jordan Gtwy STE 100, South Jordan, UT 84095-4135
Phone: (801) 951-8099
Fax: (801) 951-8098

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 2744901205 (UT)

Other Plastic Surgery providers in Utah →

Registry record

NPI: 1013056357
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Feb 2007
Record last updated: 2 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.