Granger Medical Clinic, Pc in West Jordan - Family Medicine

Granger Medical Clinic, Pc - NPI 1184657041

Granger Medical Clinic, Pc is a Family Medicine in West Jordan, Utah. Granger Medical Clinic, Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Granger Medical Clinic, Pc is 1184657041. The last update date is 2022-02-22.

Granger Medical Clinic, Pc's current location address is 7181 S Campus View Dr Ste 200, West Jordan, Utah. You can contact this provider via phone number 8019653617 and fax number 8019653526. The mailing address for Granger Medical Clinic, Pc is 7181 S Campus View Dr Ste 200, West Jordan, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization Granger Medical Clinic, Pc
Address 7181 S Campus View Dr Ste 200, West Jordan, Utah
Phone Number 8019653617
Fax Number 8019653526
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Pennington Mary Jane
Credentials M.D.
Telephone Number 8019653417

NPI Number Detail

NPI Number 1184657041
Provider Enumeration Date 2006-07-07
Last Updated Date 2022-02-22

Provider Mailing Address Detail

Address 7181 S Campus View Dr Ste 200
City West Jordan
State Utah (UT)
Post Code 840844312
Phone Number 8019653617
Fax Number 8019653526

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Definition:
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 i

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FAQs about Granger Medical Clinic, Pc

What is the unique identification code assigned to Granger Medical Clinic, Pc by the Centers for Medicare & Medicaid Services?

The Granger Medical Clinic, Pc has been issued the NPI (National Provider Identifier) 1184657041. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Granger Medical Clinic, Pc located?

The Granger Medical Clinic, Pc is located at 7181 S Campus View Dr Ste 200, West Jordan, UT 840844312.

What is Granger Medical Clinic, Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Granger Medical Clinic, Pc is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

On what date did Granger Medical Clinic, Pc receive its 1184657041 assignment from the Centers for Medicare & Medicaid Services?

The Granger Medical Clinic, Pc was assigned its 1184657041 on 2006-07-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Granger Medical Clinic, Pc most recently updated or revised?

The information pertaining to Granger Medical Clinic, Pc, including its address, specialty, and other relevant details, was last updated or revised on 2022-02-22.

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