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Organization
BEAR RIVER SPINE CENTER, PLLC
Active
Organization
BEAR RIVER SPINE CENTER, PLLC
Active
Other names
Precision Medical Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN VERNON MD (CEO)
(435) 799-7955
Entity
Organization
Contact information
Practice address
630 E 1400 N STE 115, LOGAN, UT 84341-2691
(435) 799-7955
Mailing address
630 E 1400 N STE 115, LOGAN, UT 84341-2691
(435) 799-7955
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/27/2019
Last updated
04/02/2019
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