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

Granger Medical Specialists LLC

Organization Multi-Specialty Clinic/Center · NPI 1104567882

Granger Medical Specialists LLC is a Multi-Specialty Clinic/Center in Riverton, Utah. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
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
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1104567882
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGranger Medical Specialists LLC
Authorized official Mary Jane Pennington — President/Ceo · (801) 965-3600
NPI enumeratedApril 5, 2022
Last updated in NPPESApril 5, 2022
Certification dateApril 5, 2022
Mailing address7181 S Campus View Dr Ste 200, West Jordan, UT 84084-4312

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