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1104567882
GRANGER MEDICAL SPECIALISTS LLC
RIVERTON, UT
NPI
1104567882
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Entity Type
Organization
Authorized Contact
MARY JANE PENNINGTON
President/CEO
801-965-3600
Organization Subpart ?
Yes
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2022-04-05
Last Update Date
2022-04-05
Business Address
GRANGER MEDICAL SPECIALISTS LLC
12391 S 4000 W
RIVERTON, UT 84096-7012
Phone number: 801-302-1700
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Mailing Address
GRANGER MEDICAL SPECIALISTS LLC
7181 S CAMPUS VIEW DR STE 200
WEST JORDAN, UT 84084-4312
Phone number: 801-965-3505
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