Granger Medical Clinic in West Valley City - Otolaryngology
Granger Medical Clinic - NPI 1407036619
Granger Medical Clinic is a Otolaryngology in West Valley City, Utah. Granger Medical Clinic practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Granger Medical Clinic is 1407036619. The last update date is 2007-11-06.
Granger Medical Clinic's current location address is 4052 Pioneer Pkwy, West Valley City, Utah. You can contact this provider via phone number 8019668534 and fax number 8019668533. The mailing address for Granger Medical Clinic is 4052 Pioneer Pkwy, West Valley City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Granger Medical Clinic |
|---|---|
| Address | 4052 Pioneer Pkwy, West Valley City, Utah |
| Phone Number | 8019668534 |
| Fax Number | 8019668533 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Aoki Richard Jon |
| Credentials | M.D. |
| Telephone Number | 8019653600 |
NPI Number Detail
| NPI Number | 1407036619 |
|---|---|
| Provider Enumeration Date | 2007-11-06 |
| Last Updated Date | 2007-11-06 |
Provider Mailing Address Detail
| Address | 4052 Pioneer Pkwy |
|---|---|
| City | West Valley City |
| State | Utah (UT) |
| Post Code | 841202062 |
| Phone Number | 8019668534 |
| Fax Number | 8019668533 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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What is the unique 10-digit identifier code issued to Granger Medical Clinic by the Centers for Medicare & Medicaid Services?
The Granger Medical Clinic has been assigned the NPI (National Provider Identifier) 1407036619 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Granger Medical Clinic is geographically located?
The Granger Medical Clinic is physically situated at the following location: 4052 Pioneer Pkwy, West Valley City, UT, 841202062.
What is Granger Medical Clinic's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Granger Medical Clinic is Otolaryngology, and the taxonomy classification code that categorizes this area of expertise is 207Y00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1407036619 to Granger Medical Clinic?
The Centers for Medicare & Medicaid Services originally issued the 1407036619 to Granger Medical Clinic on 2007-11-06.
When was the information regarding Granger Medical Clinic, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Granger Medical Clinic, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-11-06.