Granger Medical Clinic, Pc in Salt Lake City - Specialist
Granger Medical Clinic, Pc - NPI 1932216652
Granger Medical Clinic, Pc is a Specialist in Salt Lake City, Utah. Granger Medical Clinic, Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Granger Medical Clinic, Pc is 1932216652. The last update date is 2015-01-21.
Granger Medical Clinic, Pc's current location address is 1121 E 3900 S, Salt Lake City, Utah. You can contact this provider via phone number 8012811300. The mailing address for Granger Medical Clinic, Pc is 1121 E 3900 S, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Granger Medical Clinic, Pc |
|---|---|
| Address | 1121 E 3900 S, Salt Lake City, Utah |
| Phone Number | 8012811300 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CREDENTIAL |
|---|---|
| Authorized Official Name | Whitaker Anne |
| Telephone Number | 8019653505 |
NPI Number Detail
| NPI Number | 1932216652 |
|---|---|
| Provider Enumeration Date | 2006-08-25 |
| Last Updated Date | 2015-01-21 |
Provider Mailing Address Detail
| Address | 1121 E 3900 S |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841241214 |
| Phone Number | 8012811300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 1773041205 |
|
Definition: 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. |
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Post Comment/ Review Below
What is the Granger Medical Clinic, Pc's 1932216652?
The Granger Medical Clinic, Pc's NPI (National Provider Identifier) Number is 1932216652. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Granger Medical Clinic, Pc?
The Granger Medical Clinic, Pc is physically situated at 1121 E 3900 S, in the city of Salt Lake City, state of UT, with the postal code 841241214.
What is Granger Medical Clinic, Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Granger Medical Clinic, Pc's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Granger Medical Clinic, Pc receive the assignment of its 1932216652 from the Centers for Medicare & Medicaid Services?
The Granger Medical Clinic, Pc was issued its 1932216652 by the Centers for Medicare & Medicaid Services on 2006-08-25.
As of what date was the information regarding Granger Medical Clinic, Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Granger Medical Clinic, Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-01-21.