| NPI | 1629163746 |
|---|---|
| Doing Business As | GRANGER MEDICAL CLINIC - WASATCH |
| Entity Type | Organization |
| Authorized Contact | ANNE M WHITAKER Credentialing Coordinator 801-965-3505 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 870526286) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2016-08-16 |