| NPI | 1881797876 |
|---|---|
| Doing Business As | GRANGER MEDICAL RIVERTON |
| Entity Type | Organization |
| Authorized Contact | MARY JANE PENNINGTON President 801-965-3417 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2013-05-13 |