COMPREHENSIVE MEDICAL MANAGEMENT, PC
Medical Practice at Pioneer Pkwy, Salt Lake City, UT

License number
Utah 89180152-1205
Category
Medical Practice
Type
Pain Medicine
Owner
Name: DR. TIMOTHY GRANGE MD
Title: OWNER
Phone: (801) 955-1232
Address
Address
4052 W Pioneer Pkwy SUITE 208, Salt Lake City, UT 84120
National Provider ID: 1104060714
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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COMPREHENSIVE MEDICAL MANAGEMENT, PC

4052 W Pioneer Pkwy STE 208, Salt Lake City, UT 84120

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Comprehensive Medical Management Pllc<br>Spine Orthotherapist Pain Ctr
Registration:
Mar 31, 2009
Phone:
(801) 955-1232 (Phone)
State ID:
7311997-0111
Business type:
Business Name Reservation
Aprns:
Timothy S. Grange (Member, Medical Doctor, Owner, Physical Rehab Medicine),Deb Hartwall (Administration),Jean Shino Hollis (Physician Assistant),...
Agent:
Timothy S Grange,4052 W Pioneer Pkwy STE 208, Salt Lake City, UT 84120 (Physical)

COMPREHENSIVE MEDICAL MANAGEMENT, PC

3640 Brighton Pt Dr, Salt Lake City, UT 84121

Status:
Inactive
Registration:
Nov 22, 2000
State ID:
4853766-0142
Business type:
Corporation - Domestic - Profit
Agent:
Tim Grange,3640 Brighton Pt Dr, Salt Lake City, UT 84121 (Physical)

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