| Granger Medical Clinic - Parkway | |
|
1288 W 12700 S Riverton UT 84065-6794 | |
| (801) 253-3500 | |
| (801) 253-5859 |
| Full Name | Granger Medical Clinic - Parkway |
|---|---|
| Speciality | Family Medicine |
| Location | 1288 W 12700 S, Riverton, Utah |
| Authorized Official Name and Position | Anne Whitaker (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 8019653505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Granger Medical Clinic - Parkway 3725 W 4100 S West Valley City UT 84120-5530 Ph: (801) 965-3505 | Granger Medical Clinic - Parkway 1288 W 12700 S Riverton UT 84065-6794 Ph: (801) 253-3500 |
| NPI Number | 1649541699 |
|---|---|
| Provider Enumeration Date | 01/23/2012 |
| Last Update Date | 03/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649541699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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