Bruce C Depew
GRANGER MEDICAL CLINIC INC


Address: 1288 W 12700, Riverton, UT 84065-6794
Phone: 8012533500

Bruce C Depew (NPI# 1376505214, PAC ID# 3779624879) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1376505214
PAC ID by PECOS 3779624879
Professional Enrollment ID I20121231000132
Full Name Bruce C Depew
Organization Legal Name GRANGER MEDICAL CLINIC INC
Address 1288 W 12700
Riverton
UT 84065-6794
Phone Number 8012533500
Gender M
Medical School TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduation Year 1991
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 3476465691
Number of Group Practice Members 159
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
460051 JORDAN VALLEY MEDICAL CENTER

Other Locations

Address Phone Organization
12391 S 4000, Riverton, UT 84096-7012 8013021700 GRANGER MEDICAL CLINIC INC
1288 W 12700, Riverton, UT 84065-6794 8012533500 GRANGER MEDICAL CLINIC INC
3725 W 4100, West Valley City, UT 84120-5530 8019653600 GRANGER MEDICAL CLINIC INC

Organization Information

Organization Legal Name GRANGER MEDICAL CLINIC INC
Physicians 158

Physicians with the same organization

Name Specialty Organization Address
Javier Eduardo Chavez Obstetrics/gynecology Granger Medical Clinic Inc 3181 S 9000, West Jordan, UT 84088
Ginette I Speed Nurse Practitioner Granger Medical Clinic Inc 181 E 5600, Suite 130, Murray, UT 84107-6127
Casey J Henich Family Medicine Granger Medical Clinic Inc 3725 W 4100, West Valley City, UT 84120-5530
Jared H Mathis Physician Assistant Granger Medical Clinic Inc 2326 N 400 E, C203, Tooele, UT 84074-3408
David George Dienhart Internal Medicine Granger Medical Clinic Inc 71 E 1280, Tooele, UT 84074-8120
Melisa S Steele Nurse Practitioner Granger Medical Clinic Inc 1121 E 3900, Suite C130 Millcreek, Salt Lake City, UT 84124-1200
Robert D Williams Family Medicine Granger Medical Clinic Inc 1288 W 12700, Riverton, UT 84065-6794
Ian R Cavin General Surgery Granger Medical Clinic Inc 4252 S Highland Dr, Suite 200, Salt Lake City, UT 84124-2690
Stephen B Devenport Family Medicine Granger Medical Clinic Inc 12391 S 4000, Riverton, UT 84096-7012
Edwin R England Obstetrics/gynecology Granger Medical Clinic Inc 11724 S State St, Draper, UT 84020-7163

Office Location

Street Address 1288 W 12700
City RIVERTON
State UT
Zip 84065-6794

Physicians in the same location

Name Specialty Organization Address
Robert D Williams Family Medicine Granger Medical Clinic Inc 1288 W 12700, Riverton, UT 84065-6794

Physicians in the same zip code

Name Specialty Organization Address
Marcia B Pinkerman Nurse Practitioner 14097 S Light Cahill Cv, Bluffdale, UT 84065-2138
David L Wetzel Physical Therapy 12403 S Doreen Dr, Riverton, UT 84065-4360
Maria Antonia Oneida Family Medicine Riverton Family Health Center LLC 1756 Park Ave, Riverton, UT 84065-4701
Don P Allred Family Medicine Riverton Family Health Center LLC 1756 Park Ave, Riverton, UT 84065-4701
Ernest C Severn Family Medicine Riverton Family Health Center LLC 1756 Park Ave, Riverton, UT 84065-4701
Rebecca M Jenson Nurse Practitioner Riverton Family Health Center LLC 1756 Park Ave, Riverton, UT 84065-4701
Jason J Tye Nurse Practitioner Riverton Family Health Center LLC 1756 Park Ave, Riverton, UT 84065-4701
Michael P Ryan Physician Assistant Riverton Family Health Center LLC 1756 Park Ave, Riverton, UT 84065-4701
Daniel O Thompson Family Medicine Riverton Family Health Center LLC 1756 Park Ave, Riverton, UT 84065-4701
Robin Adair Mountford Physician Assistant Riverton Family Health Center LLC 1756 Park Ave, Riverton, UT 84065-4701
Find all physicians in zip 84065

Competitor

Search similar physicians

City RIVERTON
Zip Code 84065
Specialty FAMILY MEDICINE
City + Specialty RIVERTON + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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