Granger Medical Clinic Pc in West Valley City - Specialist
Granger Medical Clinic Pc - NPI 1356425672
Granger Medical Clinic Pc is a Specialist in West Valley 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 1356425672. The last update date is 2015-12-10.
Granger Medical Clinic Pc's current location address is 3725 W 4100 S, West Valley City, Utah. You can contact this provider via phone number 8019653600. The mailing address for Granger Medical Clinic Pc is 3725 W 4100 S, West Valley City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Granger Medical Clinic Pc |
|---|---|
| Address | 3725 W 4100 S, West Valley City, Utah |
| Phone Number | 8019653600 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BOARD MEMB |
|---|---|
| Authorized Official Name | Pennington Mary Jane |
| Credentials | M.D. |
| Telephone Number | 8019653600 |
NPI Number Detail
| NPI Number | 1356425672 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2015-12-10 |
Provider Mailing Address Detail
| Address | 3725 W 4100 S |
|---|---|
| City | West Valley City |
| State | Utah (UT) |
| Post Code | 841205530 |
| Phone Number | 8019653600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 164813-1205 |
|
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 unique identifier code issued to Granger Medical Clinic Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Granger Medical Clinic Pc has been assigned the NPI (National Provider Identifier) 1356425672. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Granger Medical Clinic Pc is located?
The Granger Medical Clinic Pc is situated at the following address: 3725 W 4100 S, West Valley City, UT, 841205530.
What is Granger Medical Clinic Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Granger Medical Clinic Pc is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
When was the Granger Medical Clinic Pc's 1356425672 issued?
The Granger Medical Clinic Pc's 1356425672 was issued on 2006-10-24.
As of what date was the information pertaining to Granger Medical Clinic Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Granger Medical Clinic Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-12-10.
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