Granger Medical Specialists LLC
NPI #1104567882 in Riverton, Utah
Provider Information
- NPI Number
- 1104567882
- Entity Type
- Organization
- Organization Name
- Granger Medical Specialists LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- GRANGER MEDICAL SPECIALISTS LLC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Apr 5, 2022
- Last Updated
- Apr 5, 2022
Practice Location
Authorized Official
- Name
- MARY JANE PENNINGTON, MD
- Title
- PRESIDENT/CEO
- Phone
- (801) 965-3600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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