Granger Medical Clinic, Inc.
NPI #1629163746 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1629163746
- Entity Type
- Organization
- Organization Name
- Granger Medical Clinic, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- GRANGER MEDICAL CLINIC, INC.
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Oct 4, 2006
- Last Updated
- Aug 16, 2016
Practice Location
- Address
- 1160 E 3900 S
- Address 2
- SUITE 1000
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84124-1202
- Phone
- (801) 262-1771
Authorized Official
- Name
- ANNE M WHITAKER
- Title
- CREDENTIALING COORDINATOR
- Phone
- (801) 965-3505
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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