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Organization
VERNON MEDICAL PLLC
Active
Organization
VERNON MEDICAL PLLC
Active
Parent organization
VERNON MEDICAL PLLC
Other names
Alder Grove Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
VERNON MEDICAL PLLC
Authorized official
BRIAN A VERNON MD (OWNER)
(435) 799-7953
Entity
Organization
Contact information
Practice address
630 E 1400 N STE 118, LOGAN, UT 84341-2691
(435) 799-7953
(435) 514-7977
Mailing address
630 E 1400 N STE 118, LOGAN, UT 84341-2691
(435) 799-7953
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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