Organization
GRANGER MEDICAL WEST JORDAN SLEEP CENTER
Active
Parent organization
GRANGER MEDICAL CLINIC, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRANGER MEDICAL CLINIC, PC
Authorized official
DR. MARY JANE PENNINGTON MD (GROUP PRESIDENT)
(801) 965-3600
Entity
Organization
Contact information
Practice address
3181 W 9000 S, WEST JORDAN, UT 84088
(801) 352-5950
(801) 569-5550
Mailing address
3725 W 4100 S, WEST VALLEY CITY, UT 84120-5530
(801) 965-3600
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
12/03/2015
Last updated
08/30/2018
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