Granger Medical Specialists LLC

NPI #1174266035 in Draper, Utah

Provider Information

NPI Number
1174266035
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 19, 2022
Last Updated
Apr 19, 2022

Practice Location

Address
96 E KIMBALLS LN STE 304
City
Draper
State
Utah
ZIP Code
84020-5021
Phone
(801) 571-9433

Authorized Official

Name
MARY JANE PENNINGTON, MD
Title
PRESIDENT/CEO
Phone
(801) 965-3600

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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