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NPI 1376159368

OrganizationActive

Granger Medical Specialists LLC

NPI 1376159368 · Clinic/Center · West Valley City, UT

Provider details

NPI number: 1376159368
Entity type: Organization
Primary specialty: Clinic/CenterAmbulatory Health Care Facilities
Authorized official: Mary Jane Pennington, President/Ceo

Practice location

2965 W 3500 S

West Valley City, UT 84119-3602

Phone: (801) 965-3600

More UT providers

Mailing address

7181 S Campus View Dr Ste 200

West Jordan, UT 84084-4312

Registry dates

Enumerated: 2020-09-16
Last updated: 2020-09-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Granger Medical Specialists LLC — NPI 1376159368, West Valley City, UT | NPI Central