OrganizationActive
Granger Medical Clinic PC
NPI 1356425672 · Specialist · Salt Lake City, UT
Provider details
- NPI number
- 1356425672
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Mary Jane Pennington, Board Member(801) 965-3600
- License
- 164813-1205 (UT)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
348 E 4500 S
Suite 200
Salt Lake City, UT 84107-3906
Phone: (801) 262-9800
Fax: (801) 262-8300
Street-level locationGet directions
Mailing address
3725 W 4100 S
West Valley City, UT 84120-5530
Registry dates
- Enumerated
- 2006-10-24
- Last updated
- 2015-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.