Graduated: 2014
NPI: 1558766014
Practice Locations (3)
GRANGER MEDICAL CLINIC PC
12391 S 4000
RIVERTON, UT 840967012
8013021700
UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP
1525 W 2100
SALT LAKE CITY, UT 841191407
8012139900
GRANGER MEDICAL CLINIC PC
2965 W 3500
WEST VALLEY CITY, UT 841193602
8019653600
Source: CMS National Downloadable File, September 2026.