Granger Medical Clinic PC
NPI #1871225441 in West Jordan, Utah
Provider Information
- NPI Number
- 1871225441
- Entity Type
- Organization
- Organization Name
- Granger Medical Clinic PC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Jun 30, 2022
- Last Updated
- Jun 30, 2022
Practice Location
- Address
- 9001 S 3200 W
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84088-9621
- Phone
- (801) 569-5520
Authorized Official
- Name
- MARY JANE PENNINGTON, MD
- Title
- PRESIDENT/CEO
- Phone
- (801) 965-3600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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