Search › Utah › 171M00000X
Mikala Fairbanks
NPI 1306391370 · on the registry since 2016
Practice
- Address
- 638 N 450 W
Orem, UT 84057 - Phone
- (801) 373-4760
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-08-19
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