# GRANGER MEDICAL CLINIC, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GRANGER MEDICAL CLINIC, PC
- **Other names:** Granger Medical Cottonwood Sleep Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1447609987
- **Legal business name:** GRANGER MEDICAL CLINIC, PC
- **Authorized official:** MARY JANE PENNINGTON (PRESIDENT)
- **Authorized official phone:** (801) 965-3600

## Contact information

- **Practice address:** 5801 S FASHION BLVD, SUITE 140, MURRAY, UT 84107
- **Practice address phone:** (801) 260-5864
- **Practice address fax:** (801) 260-5865
- **Mailing address:** 7181 S CAMPUS VIEW DR, WEST JORDAN, UT 84084-4312
- **Mailing address phone:** (801) 965-3505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/06/2016
- **Last updated:** 07/30/2019