# GRANGER MEDICAL WEST JORDAN SLEEP CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GRANGER MEDICAL CLINIC, PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689049595
- **Legal business name:** GRANGER MEDICAL CLINIC, PC
- **Authorized official:** DR. MARY JANE PENNINGTON MD (GROUP PRESIDENT)
- **Authorized official phone:** (801) 965-3600

## Contact information

- **Practice address:** 3181 W 9000 S, WEST JORDAN, UT 84088
- **Practice address phone:** (801) 352-5950
- **Practice address fax:** (801) 569-5550
- **Mailing address:** 3725 W 4100 S, WEST VALLEY CITY, UT 84120-5530
- **Mailing address phone:** (801) 965-3600

## 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:** 12/03/2015
- **Last updated:** 08/30/2018