| NPI | 1497441539 |
|---|---|
| Other Name | GRANGER MEDICAL COTTONWOOD PODIATRY |
| 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 | 2023-04-12 |
| Last Update Date | 2023-04-12 |