Organization
GRANGER MEDICAL CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE WHITAKER (CREDENTIALING SPECIALIST)
(801) 965-3505
Entity
Organization
Contact information
Practice address
2965 W 3500 S, WEST VALLEY CITY, UT 84119-3602
(801) 965-3600
Mailing address
7181 S CAMPUS VIEW DR STE 200, WEST JORDAN, UT 84084-4312
(801) 965-3505
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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