Granger Medical Clinic, Pc in West Jordan - Surgery Of The Hand
Granger Medical Clinic, Pc - NPI 1184657041
Granger Medical Clinic, Pc is a Surgery Of The Hand in West Jordan, Utah. Granger Medical Clinic, Pc practices all healthcare services and medical treatments related to Surgery Of The Hand. 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 |
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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 |
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Authorized Official Name | Pennington Mary Jane |
Credentials | M.D. |
Telephone Number | 8019653417 |
NPI Number Detail
NPI Number | 1184657041 |
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Provider Enumeration Date | 2006-07-07 |
Last Updated Date | 2022-02-22 |
Provider Mailing Address Detail
Address | 7181 S Campus View Dr Ste 200 |
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City | West Jordan |
State | Utah (UT) |
Post Code | 840844312 |
Phone Number | 8019653617 |
Fax Number | 8019653526 |
Provider's Primary Taxonomy Detail
Speciality | Surgery Of The Hand |
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Taxonomy | 2082S0105X |
Definition: A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
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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 Surgery Of The Hand, and the taxonomy code that classifies this field of practice is 2082S0105X.
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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