Granger Medical Clinic

NPI 1407036619 - Otolaryngology - 207Y00000X

NPI Details
NPI 1407036619
Enumeration Date 11/06/2007
Last Updated 11/06/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JON RICHARD JON
Position PHYSICIAN
Phone (801) 966-8534
Fax (801) 966-8533
Practice Location
4052 PIONEER PKWY
SUITE 210
WEST VALLEY CITY UT, 84120-2062, US
Phone (801) 966-8534
Fax (801) 966-8533
Business Location
3725 W 4100 S
WEST VALLEY CITY UT, 84120-5530, US
Phone (801) 965-3600
Fax (801) 965-3526
Toxanomy
Taxonomy Code 207Y00000X
License State
License Number
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According to our database, Granger Medical Clinic NPI is 1407036619, taxonomy code is 207Y00000X Granger Medical Clinic physically located at 4052 Pioneer Pkwy, West Valley City UT, 84120-2062. NPI Number 1033115704 has the healthcare provider type.

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1407036619 NPI number is provided on an as is basis without warranty of any kind. 1407036619 is maintained by the National Plan & Provider Enumeration System. The contents of Granger Medical Clinic are for informational purposes only.