Organization
GRANGER MEDICAL CLINIC, PC
Active
Parent organization
GRANGER MEDICAL CLINIC, PC
Other names
Summit Urology Advanced Prostate Cancer Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRANGER MEDICAL CLINIC, PC
Authorized official
ANNE WHITAKER (CREDENTIALING COORDINATOR)
(801) 965-3505
Entity
Organization
Contact information
Practice address
348 E 4500 S, MURRAY, UT 84107-3906
(801) 965-3600
Mailing address
2965 W 3500 S, WEST VALLEY CITY, UT 84119-3602
(801) 965-3600
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
07/09/2025
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