Organization
HEALING EDGE MEDICAL GROUP UT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEV GRINMAN MD (PARTNER)
(615) 499-3165
Entity
Organization
Contact information
Practice address
10 W BROADWAY FL 7, SALT LAKE CITY, UT 84101-2060
(615) 499-3165
Mailing address
329 S OYSTER BAY RD # 2059, PLAINVIEW, NY 11803-3301
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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