GRANGER MEDICAL CLINIC - MILLCREEK ALLERGY
NPI 1932216652
Specialist in Salt Lake City, UT

Active since August 25, 2006
1121 E 3900 S, SUITE #C130, SALT LAKE CITY, UT 84124(801) 281-1300 Get Directions Write a Review

NPPES record last updated: January 21, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Granger Medical Clinic - Millcreek Allergy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRANGER MEDICAL CLINIC - MILLCREEK ALLERGY (NPI 1932216652) is a healthcare organization registered as a specialist in Salt Lake City, Utah and active in the NPI registry since August 2006. The organization lists Anne Whitaker, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1932216652
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGRANGER MEDICAL CLINIC, PC
Location Address1121 E 3900 S, SUITE #C130Salt Lake City, UT 84124-1214
Mailing Address1121 E 3900 S, Suite #c130Salt Lake City, UT 84124-1214 · (801) 281-1300
Organization SubpartYes
Authorized OfficialAnne WhitakerCredentialing Coordinator · (801) 965-3505
Enumeration DateAugust 25, 2006
Last NPPES UpdateJanuary 21, 2015
NPI 1932216652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in UT · 1773041205
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1121 E 3900 S, Salt Lake City, UT 84124

Other Names 1

Doing Business AsGranger Medical Clinic - Millcreek Allergy

Other Identifiers 3

Medicare UPIND07742UT
Medicare PIN000004880UT
Medicare PIN000057922UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
1121 E 3900 S
SALT LAKE CITY, UT 84124
Clinical Medical Laboratory
1121 E 3900 S, SUITE 105
SALT LAKE CITY, UT 84124
Internal Medicine (Hematology & Oncology)
1121 E 3900 S, SUITE C230
SALT LAKE CITY, UT 84124
Chiropractor
1121 E 3900 S, STE. 222
SALT LAKE CITY, UT 84124
Physical Therapist
1121 E 3900 S, C-115
SALT LAKE CITY, UT 84124
Chiropractor
1121 E 3900 S, BUILDING C SUITE 222
SALT LAKE CITY, UT 84124
Specialist
1121 E 3900 S, SUITE C-125
SALT LAKE CITY, UT 84124
Specialist
1121 E 3900 S, C 125
SALT LAKE CITY, UT 84124

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Granger Medical Clinic, PC's NPI number?

The NPI number for Granger Medical Clinic, PC is 1932216652. It was assigned to this organization in the NPPES registry on August 25, 2006. The provider is doing business as Granger Medical Clinic - Millcreek Allergy.

Where is Granger Medical Clinic, PC located?

Granger Medical Clinic, PC is located at 1121 E 3900 S Suite #c130, Salt Lake City, UT 84124. The listed phone number is (801) 281-1300.

What is Granger Medical Clinic, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Granger Medical Clinic, PC was last updated on January 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.