Individual
STEVEN R GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5169 S COTTONWOOD ST STE 400, MURRAY, UT 84107-6769
(801) 507-3460
(801) 507-3458
Mailing address
5169 S COTTONWOOD ST STE 400, MURRAY, UT 84107-6769
(801) 507-3460
(801) 507-3458
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5223856-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186371401
—
TX
01
—
186371402
CSHCN
TX
Enumeration date
01/05/2007
Last updated
10/01/2021
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