Granger Medical Clinic
Otolaryngology in West Valley City, UT. Organization (NPI-2).
NPI number1407036619
StatusActive
Last updated in NPPESNov 6, 2007
Details
- NPI
- 1407036619
- Entity type
- Organization (NPI-2)
- Legal business name
- Granger Medical Clinic
- Organization subpart
- Yes
- Enumeration date
- Nov 6, 2007
- Last updated
- Nov 6, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | – | – | Yes |
Other names
- Jon Richard Aoki (Doing Business As)
Practice location
4052 Pioneer PkwySuite 210
West Valley City, UT 84120-2062
Phone 801-966-8534 · Fax 801-966-8533
Mailing address
3725 W 4100 SWest Valley City, UT 84120-5530
Phone 801-965-3600 · Fax 801-965-3526
Authorized official
Jon Richard Aoki
Physician
8019653600
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