Granger Medical Tooele

NPI 1073811733 - Clinic/Center - 261QM1300X

NPI Details
NPI 1073811733
Enumeration Date 03/04/2011
Last Updated 05/13/2013
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name MARGARET A MARGARET
Position CREDENTIALING COORDINATOR
Phone (801) 352-5900
Fax (801) 352-5914
Practice Location
2356 N 400 E STE 201
TOOELE UT, 84074-3409, US
Phone (801) 352-5900
Fax (801) 352-5914
Business Location
2356 N 400 E STE 201
TOOELE UT, 84074-3409, US
Phone (801) 352-5900
Fax (801) 352-5914
Toxanomy
Taxonomy Code 261QM1300X
License State
License Number
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According to our database, Granger Medical Tooele NPI is 1073811733, taxonomy code is 261QM1300X Granger Medical Tooele physically located at 2356 N 400 E Ste 201, Tooele UT, 84074-3409. NPI Number 1033115704 has the healthcare provider type.

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1073811733 NPI number is provided on an as is basis without warranty of any kind. 1073811733 is maintained by the National Plan & Provider Enumeration System. The contents of Granger Medical Tooele are for informational purposes only.