Organization
GRANGER MEDICAL CLINIC PC
Active
Parent organization
GRANGER MEDICAL CLINIC PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRANGER MEDICAL CLINIC PC
Authorized official
MARY JANE PENNINGTON (PRESIDENT)
(801) 965-3600
Entity
Organization
Contact information
Practice address
2356 N 400 E STE 201, TOOELE, UT 84074-3409
(801) 352-5900
(801) 352-5914
Mailing address
2965 W 3500 S, WEST VALLEY CITY, UT 84119-3602
(801) 965-3600
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/04/2011
Last updated
12/13/2023
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