COMPREHENSIVE MEDICAL MANAGEMENT PC NPI 1104060714

NPI Information

NPI: 1104060714
Provider Name: COMPREHENSIVE MEDICAL MANAGEMENT, PC
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Specialization: Pain Medicine
Entity Type: Organization
Doing Business As: THE SPINE, ORTHOPEDIC AND PAIN CENTER
Address: 4052 W PIONEER PARKWAY
SUITE 208
WEST VALLEY CITY, UT
ZIP 84120
Phone: (801) 955-1232

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NPI Details

COMPREHENSIVE MEDICAL MANAGEMENT, PC is a pain medicine physical medicine rehabilitation in West Valley City, UT. The provider is 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. COMPREHENSIVE MEDICAL MANAGEMENT, PC NPI is 1104060714. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Spine, Orthopedic And Pain Center.

The provider's business location address is:

4052 W PIONEER PARKWAY
SUITE 208
WEST VALLEY CITY, UT
ZIP 84120
Phone: (801) 955-1232
Fax: (801) 955-1543

The provider's authorized official is Timothy Grange .
The authorized official title is Owner and has the following contact phone number (801) 955-1232.

The enumeration date for this NPI number is 4/27/2009 and was last updated on 7/6/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2081P2900X	Physical Medicine & Rehabilitation	Pain Medicine	89180152-1205	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E98197	MEDICARE UPIN	UTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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