| NPI | 1649541699 |
|---|---|
| Doing Business As | GRANGER MEDICAL CLINIC - PARKWAY |
| Entity Type | Organization |
| Authorized Contact | ANNE WHITAKER Credentialing COO Rdinator 801-965-3505 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2015-03-02 |