Organization · Type 2 NPI

Granger Medical Clinic, PC

Family Medicine Physician · Riverton, UT

NPI number 1649541699 Active

Practice location

1288 W 12700 S
Riverton, UT 84065-6794

Call (801) 253-3500 Map

Fax (801) 253-5859

Mailing address

3725 W 4100 S
West Valley City, UT 84120-5530

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Pediatrics Physician	208000000X	None 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.

3 other providers at this address

Other family medicine physician providers in Riverton

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NPI record

NPI: 1649541699
Entity type: Organization (Type 2)
Issued: Jan 23, 2012
Last updated: Mar 2, 2015
Status: Active
Subpart: Yes of Granger Medical Clinic, PC

Other names

<unavail>
Granger Medical Clinic - Parkway · doing business as

Authorized official

Mrs. Anne Whitaker
Credentialing Coordinator
(801) 965-3505

Verify this record

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 1649541699

Granger Medical Clinic, PC's National Provider Identifier is 1649541699, issued on Jan 23, 2012. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Riverton, UT. The record was last updated on Mar 2, 2015.