Organization · Type 2 NPI

Granger Medical Clinic, PC

Non-Pharmacy Dispensing Site · Murray, UT

NPI number 1093330698 Active

Practice location

348 E 4500 S
Murray, UT 84107-3906

Call (801) 965-3600 Map

Mailing address

2965 W 3500 S
West Valley City, UT 84119-3602

Other practice locations

5323 S Woodrow St Ste 203, Murray, UT 84107-5851 · (801) 266-8664

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	None listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

17 other providers at this address

NPI record

NPI: 1093330698
Entity type: Organization (Type 2)
Issued: Jun 10, 2020
Last updated: Jul 9, 2025
Status: Active
Subpart: Yes of Granger Medical Clinic, PC

Other names

<unavail>
Summit Urology Advanced Prostate Cancer Clinic · doing business as
Summit Urology Advanced Prostate Cancer Clinic · doing business as

Authorized official

Anne Whitaker
Credentialing Coordinator
(801) 965-3505

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093330698

Granger Medical Clinic, PC's National Provider Identifier is 1093330698, issued on Jun 10, 2020. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Murray, UT. The record was last updated on Jul 9, 2025.