Organization
UNIVERSITY OF UTAH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADELINE GRAINGER (PSYCHIATRIC TECHNICIAN)
(801) 864-5927
Entity
Organization
Contact information
Practice address
697 W 4170 S, MURRAY, UT 84123-1326
(801) 587-2460
Mailing address
697 W 4170 S, MURRAY, UT 84123-1326
(801) 587-2460
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
167G00000X
UT
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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