Organization
GRANGER MEDICAL CLINIC
Active
Parent organization
GRANGER MEDICAL CLINIC, INC
Other names
Jon Richard Aoki
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRANGER MEDICAL CLINIC, INC
Authorized official
JON RICHARD AOKI M.D. (PHYSICIAN)
(801) 965-3600
Entity
Organization
Contact information
Practice address
4052 PIONEER PKWY, SUITE 210, WEST VALLEY CITY, UT 84120-2062
(801) 966-8534
(801) 966-8533
Mailing address
3725 W 4100 S, WEST VALLEY CITY, UT 84120-5530
(801) 965-3600
(801) 965-3526
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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