Individual
VERNON R MALAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1950 S HIGHWAY 89, PERRY, UT 84302-4119
(435) 723-1902
(435) 723-1908
Mailing address
2380 N 400 E, LOGAN, UT 84341-1749
(435) 713-9700
(435) 753-8005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4974591-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D4976
—
UT
Enumeration date
08/23/2007
Last updated
08/23/2007
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