Organization · Type 2 NPI

Granger Medical Clinic PC

Family Medicine Physician · Draper, UT

NPI number 1174968051 Active

Practice location

11724 South State St.
Draper, UT 84020

Fax (801) 965-3740

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician 207N00000XNone listed
Family Medicine Physician Primary 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Gastroenterology Physician 207RG0100XNone listed
Nephrology Physician 207RN0300XNone listed
Pulmonary Disease Physician 207RP1001XNone listed
Sports Medicine (Internal Medicine) Physician 207RS0010XNone listed
Sleep Medicine (Internal Medicine) Physician 207RS0012XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Ophthalmology Physician 207W00000XNone listed
Orthopaedic Surgery Physician 207X00000XNone listed
Otolaryngology Physician 207Y00000XNone listed
Pediatrics Physician 208000000XNone listed
Plastic Surgery Physician 208200000XNone listed
Pain Medicine Physician 208VP0000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1174968051

Granger Medical Clinic PC's National Provider Identifier is 1174968051, issued on May 6, 2013. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Draper, UT. The record was last updated on Dec 13, 2023.