Individual
DR. TODD RYAN GRUNANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4403 HARRISON BLVD, SUITE 2400, OGDEN, UT 84403-3271
(801) 387-2750
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-2750
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
8005885-1205
UT
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
8005885-1205
UT
Other
Enumeration date
08/20/2008
Last updated
07/25/2012
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