Granger Medical Specialists LLC
NPI #1326789090 in West Jordan, Utah
Provider Information
- NPI Number
- 1326789090
- Entity Type
- Organization
- Organization Name
- Granger Medical Specialists LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- GRANGER MEDICAL SPECIALISTS OOC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Apr 5, 2022
- Last Updated
- Apr 5, 2022
Practice Location
- Address
- 3181 W 9000 S
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84088-5610
- Phone
- (801) 965-3600
Authorized Official
- Name
- MARY JANE PENNINGTON, MD
- Title
- CEO/PRESIDENT
- Phone
- (801) 965-3600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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