| NPI | 1104857549 |
|---|---|
| Doing Business As | GRANGER MEDICAL WEST JORDAN |
| Entity Type | Organization |
| Authorized Contact | MARY JANE PENNINGTON President 801-965-3600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2025-09-02 |