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Search › Utah › 104100000X

Chad Fairbanks

NPI 1518257039 · on the registry since 2011 · sole proprietor

Practice

Address
90 East 200 North
Logan, UT 84321
Phone
(435) 752-0750
Fax
(435) 752-7433
Organisation at this address
Bear River Mental Health
Bear River Mental Health8
Bear River Mental Health Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
195

Registry record

Primary taxonomy
104100000X
104100000X
Sex
Male
Record last updated
2011-04-18

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