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

Granger Medical Clinic, Inc

Organization Internal Medicine Physician · NPI 1629163746

Granger Medical Clinic, Inc is an Internal Medicine Physician 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?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1160 E 3900 S Ste 1000
Salt Lake City, UT 84124-1202
Phone: (801) 262-1771
Fax: (801) 288-9101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 870526286 (UT)

Record details

NPI number1629163746
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGranger Medical Clinic, Inc
Authorized official Anne Whitaker — Credentialing Coordinator · (801) 965-3505
Other names Granger Medical Clinic - Wasatch
NPI enumeratedOctober 4, 2006
Last updated in NPPESAugust 16, 2016
Mailing address1160 E 3900 S, Suite 1000, Salt Lake City, UT 84124-1202

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