Granger Medical Clinic PC
NPI #1104857549 in West Jordan, Utah
Provider Information
- NPI Number
- 1104857549
- Entity Type
- Organization
- Organization Name
- Granger Medical Clinic PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- GRANGER MEDICAL CLINIC PC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Jul 5, 2006
- Last Updated
- Sep 2, 2025
Practice Location
- Address
- 3181 W 9000 SO
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84088
- Phone
- (801) 352-5900
Authorized Official
- Name
- MARY JANE PENNINGTON, MD
- Title
- PRESIDENT
- Phone
- (801) 965-3600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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