Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Granger Medical Clinic PC

Organization Specialist · NPI 1356425672

Granger Medical Clinic PC provides Specialist services in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

348 E 4500 S Ste 200
Salt Lake City, UT 84107-3906 Not confirmed with CMS for 10 years — call before visiting
Phone: (801) 262-9800
Fax: (801) 262-8300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 164813-1205 (UT)

Record details

NPI number1356425672
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Jane Pennington — Board Member · (801) 965-3600
NPI enumeratedOctober 24, 2006
Last updated in NPPESDecember 10, 2015
Mailing address3725 W 4100 S, West Valley City, UT 84120-5530

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