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Organization
COMPREHENSIVE MEDICAL MANAGEMENT, PC
Active
Organization
COMPREHENSIVE MEDICAL MANAGEMENT, PC
Active
Other names
The Spine, Orthopedic and Pain Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY GRANGE MD (OWNER)
(801) 955-1232
Entity
Organization
Contact information
Practice address
4052 W PIONEER PARKWAY, SUITE 208, WEST VALLEY CITY, UT 84120
(801) 955-1232
(801) 955-1543
Mailing address
4052 W PIONEER PARKWAY, SUITE 208, WEST VALLEY CITY, UT 84120
(801) 955-1232
(801) 955-1543
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
89180152-1205
UT
Other
Enumeration date
04/27/2009
Last updated
07/06/2009
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