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

Granger Medical Clinic Inc

Organization Family Medicine Physician · NPI 1881797876

Granger Medical Clinic Inc is a Family Medicine Physician in Riverton, Utah. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
7
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

12391 S 4000 W
Riverton, UT 84096-7012
Phone: (801) 302-1700
Fax: (801) 302-1714
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Gastroenterology Physician Taxonomy 207RG0100X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X
Podiatrist Taxonomy 213E00000X

Record details

NPI number1881797876
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGranger Medical Clinic Inc
Authorized official Mary Jane Pennington — President · (801) 965-3417
Other names Granger Medical Riverton
NPI enumeratedSeptember 6, 2006
Last updated in NPPESMay 13, 2013
Mailing address12391 S 4000 W, Riverton, UT 84096-7012

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