Search › Utah › 363AM0700X
Staci Brandenburg, PA-C
NPI 1487279626 · on the registry since 2020
Practice
- Address
- 2965 W 3500 S
West Valley City, UT 84119 - Phone
- (801) 965-3419
- Organisation at this address
- Granger Pharmacy
Granger Medical Clinic Pc
Granger Medical Clinic, Pc
Granger Medical Specialists Llc
Rocky Mountain Therapy ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 75
Additional practice sites
- 6749 S Sienna Park Ln, Midvale, UT
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363A00000X
390200000X - Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah