MEDICARE: GRANGER MEDICAL CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician

General Provider Information

NPI Number	:	1407036619
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRANGER MEDICAL CLINIC

Provider Business Mailing Address
First Line	:	3725 W 4100 S
Second Line	:
City	:	WEST VALLEY CITY
State	:	UT
Zip	:	84120-5530
Country	:	US
Telephone Number	:	801-965-3600
Fax Number	:	801-965-3526

Provider Business Practice Location Address
First Line	:	4052 PIONEER PKWY
Second Line	:	SUITE 210
City	:	WEST VALLEY CITY
State	:	UT
Zip	:	84120-2062
Country	:	US
Telephone Number	:	801-966-8534
Fax Number	:	801-966-8533

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	JON RICHARD AOKI
Credential	:	M.D.
Telephone Number	:	801-965-3600

Provider Enumeration Date	:	11/06/2007
Last Update Date	:	11/06/2007

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1275590960 — LYNNE G. ATWOOD CNM, CFNP
Practice Location Address:

4052 W 3390 S , SUITE # 205
WEST VALLEY CITY, UT
84120-2062

Practice Phone: 801-964-3758
Practice Fax: 801-964-3797

1477506913 — MR. JAMES DOUGLAS BURROWS M.D., FRCS (C)
Practice Location Address:

4052 PIONEER PKWY , SUITE 208
WEST VALLEY CITY, UT
84120-2062

Practice Phone: 801-966-3977
Practice Fax: 801-966-4043

1881150126 — SHANNON BROOKE GRIZZLE CSW
Practice Location Address:

4052 W PIONEER PKWY
WEST VALLEY CITY, UT
84120-2062

Practice Phone: 801-964-3111
Practice Fax:

1053162263 — TONYA WRIGHT PMHNP
Practice Location Address:

4052 W PIONEER PKWY
WEST VALLEY CITY, UT
84120-2062

Practice Phone: 801-386-1250
Practice Fax:

Directions to “GRANGER MEDICAL CLINIC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.