Organization Name: | COMPREHENSIVE MEDICAL MANAGEMENT, PC |
NPI Number: | 1104060714 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIMOTHY GRANGE (OWNER) |
Mailing Address: | 4052 W Pioneer Parkway Suite 208 West Valley City |
State: | UT US |
Postal Code: | 84120 |
Phone Number: | 8019551232 |
Fax Number: | 8019551543 |
NPI Enumeration Date: | 04/27/2009 |
NPI Last Update Date: | 07/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2081P2900X |
License Number: | 89180152-1205 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Physical Medicine & Rehabilitation |
Taxonomy Specialization: | Pain Medicine |
Taxonomy Definition: | A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |