Granger, Steven R

Granger, Steven R is an individual health care provider with primary practice located at 5169 S Cottonwood St Ste 400 , Murray UT 84107-6769. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Granger, Steven R can be contacted via phone (801) 507-3460.

Contact Information

Primary practice address
5169 S Cottonwood St Ste 400 Murray UT 84107-6769
Phone: (801) 507-3460
Fax: (801) 507-3458
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 5223856-1205 Utah

Profile Details

NPI number 1174670582
LBN Legal business name Granger, Steven R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Oct 1st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174670582 NPPES
Texas Other 186371402 CSHCN
Texas MEDICAID 186371401 CSHCN

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