Organization
GRANGER MEDICAL CLINIC, PC
Active
Parent organization
GRANGER MEDICAL CLINIC, PC
Other names
Granger Medical Cottonwood Sleep Center
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
5801 S FASHION BLVD, SUITE 140, MURRAY, UT 84107
(801) 260-5864
(801) 260-5865
Mailing address
7181 S CAMPUS VIEW DR, WEST JORDAN, UT 84084-4312
(801) 965-3505
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
06/06/2016
Last updated
07/30/2019
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