Granger Medical Clinic, PC
NPI #1487331260 in West Valley City, Utah
Provider Information
- NPI Number
- 1487331260
- Entity Type
- Organization
- Organization Name
- Granger Medical Clinic, PC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Jul 3, 2023
- Last Updated
- Jul 3, 2023
Practice Location
- Address
- 2965 W 3500 S
- City
- West Valley City
- State
- Utah
- ZIP Code
- 84119-3602
- Phone
- (801) 965-3600
Authorized Official
- Name
- ANNE WHITAKER
- Title
- CREDENTIALING SPECIALIST
- Phone
- (801) 965-3505
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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