Granger Medical Specialists LLC
NPI #1376159368 in West Valley City, Utah
Provider Information
- NPI Number
- 1376159368
- Entity Type
- Organization
- Organization Name
- Granger Medical Specialists LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Sep 16, 2020
- Last Updated
- Sep 16, 2020
Practice Location
- Address
- 2965 W 3500 S
- City
- West Valley City
- State
- Utah
- ZIP Code
- 84119-3602
- Phone
- (801) 965-3600
Authorized Official
- Name
- MARY JANE PENNINGTON, MD
- Title
- PRESIDENT/CEO
- Phone
- (801) 965-3600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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