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Grant Fairbanks, MD
NPI 1013056357 · on the registry since 2007
Practice
- Address
- 10382 S Jordan Gtwy Ste 100
South Jordan, UT 84095 - Phone
- (801) 951-8099
- Fax
- (801) 951-8098
- Organisation at this address
- Frogley Health And Wellness Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 208200000X
208200000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-04-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah