Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 2023
NPI: 1942086624
Practice Locations (2)
GRANGER MEDICAL CLINIC PC
12391 S 4000
RIVERTON, UT 840967012
8013021700
GRANGER MEDICAL CLINIC PC
2965 W 3500
WEST VALLEY CITY, UT 841193602
8019653600
Source: CMS National Downloadable File, September 2026.