GRANGER MEDICAL CLINIC PC is a specialist in Salt Lake City, UT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GRANGER MEDICAL CLINIC PC NPI is 1356425672. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
348 E 4500 S
SUITE 200
SALT LAKE CITY, UT
ZIP 84107-906
Phone: (801) 262-9800
Fax: (801) 262-8300
The provider's authorized official is Mary Jane Pennington .
The authorized official title is Board Member and has the following contact phone number (801) 965-3600.
The CLIA number assigned to this NPI record is 46D2157488 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/24/2006 and was last updated on 12/10/2015.