Granger Medical Clinic INC

NPI #1881797876 in Riverton, Utah

Provider Information

NPI Number
1881797876
Entity Type
Organization
Organization Name
Granger Medical Clinic INC
Subpart
Yes (part of a larger organization)
Parent Organization
GRANGER MEDICAL CLINIC INC
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Sep 6, 2006
Last Updated
May 13, 2013

Practice Location

Address
12391 S 4000 W
State
Utah
ZIP Code
84096-7012
Phone
(801) 302-1700

Authorized Official

Name
DR. MARY JANE PENNINGTON, MD
Title
PRESIDENT
Phone
(801) 965-3417

Specialties & Taxonomy Codes

Specialty
Family Medicine
Internal Medicine
Internal Medicine - GastroenterologyGastroenterology
Obstetrics & Gynecology
Pediatrics
Podiatrist
Clinic/Center - Multi-SpecialtyMulti-Specialty

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Provider Name
Granger Medical Specialists LLC

Part of Granger Medical Specialists LLC

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