| NPI | 1932216652 |
|---|---|
| Doing Business As | GRANGER MEDICAL CLINIC - MILLCREEK ALLERGY |
| Entity Type | Organization |
| Authorized Contact | ANNE WHITAKER Credentialing COO Rdinator 801-965-3505 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: UT 1773041205) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2015-01-21 |