| Granger Medical Millcreek | |
|
1250 E 3900 S Suite 250 Salt Lake City UT 84124-1348 | |
| (801) 268-6283 | |
| (801) 263-3579 |
| Full Name | Granger Medical Millcreek |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1250 E 3900 S, Salt Lake City, 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 Millcreek 1250 E 3900 S Suite 250 Salt Lake City UT 84124-1348 Ph: (801) 268-6283 | Granger Medical Millcreek 1250 E 3900 S Suite 250 Salt Lake City UT 84124-1348 Ph: (801) 268-6283 |
| NPI Number | 1447667217 |
|---|---|
| Provider Enumeration Date | 07/14/2014 |
| Last Update Date | 07/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447667217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 050912 (Utah) | Primary |
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