Granger Medical Park City
NPI #1699050823 in West Jordan, Utah
Provider Information
- NPI Number
- 1699050823
- Entity Type
- Organization
- Organization Name
- Granger Medical Park City
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- GRANGER MEDICAL CLINIC INC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Oct 19, 2011
- Last Updated
- May 13, 2013
Practice Location
- Address
- 3181 W 9000 SO
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84088
- Phone
- (801) 569-5520
Authorized Official
- Name
- MRS. MARY JANE PENNINGTON, MD
- Title
- PRESIDENT
- Phone
- (801) 965-3600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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