Organization · Type 2 NPI

Granger Medical Clinic, PC

Specialist · Salt Lake City, UT

NPI number 1932216652 Active

Practice location

1121 E 3900 S, Suite #C130
Salt Lake City, UT 84124-1214

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	1773041205 (UT)

Specialist: 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.

10 other providers at this address

Other specialist providers in Salt Lake City

See all in Salt Lake City →

NPI record

NPI: 1932216652
Entity type: Organization (Type 2)
Issued: Aug 25, 2006
Last updated: Jan 21, 2015
Status: Active
Subpart: Yes of Granger Medical Clinic, PC

Other names

<unavail>
Granger Medical Clinic - Millcreek Allergy · doing business as

Authorized official

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.

Is this your record? How to update it.

About NPI 1932216652

Granger Medical Clinic, PC's National Provider Identifier is 1932216652, issued on Aug 25, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jan 21, 2015.