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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