| NPI | 1447667217 |
|---|---|
| Doing Business As | GRANGER MEDICAL MILLCREEK |
| Entity Type | Organization |
| Authorized Contact | ANNE WHITAKER Credentialing Coordinator 801-965-3505 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: UT 050912) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-14 |