Organization
GRANGER MEDICAL SLEEP CLINIC
Active
Parent organization
GRANGER MEDICAL CLINIC, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRANGER MEDICAL CLINIC, INC.
Authorized official
MRS. ANNE WHITAKER (CREDENTIALING COORDINATOR)
(801) 965-3505
Entity
Organization
Contact information
Practice address
3181 W 9000 S, WEST JORDAN, UT 84088-5610
(801) 352-5950
(801) 352-5550
Mailing address
3181 W 9000 S, WEST JORDAN, UT 84088-5610
(801) 352-5950
(801) 352-5550
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
5139563-1205
UT
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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