Timothy S Grange, MD Valid NPI

Individual provider · Physical Medicine & Rehabilitation Physician · Salt Lake City, UT

NPI

1932169430

Type

Individual (Type 1)

Primary specialty

Physical Medicine & Rehabilitation Physician (Physical Medicine & Rehabilitation)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208100000X

License number

891801521205 (UT)

Sex

Male

Sole proprietor

No

Enumerated

2006-03-27

Last updated

2009-07-03