Individual
BRIAN A VERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
595 W 465 N, PROVIDENCE, UT 84332
(385) 238-3900
(385) 238-3901
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3500
(801) 475-3494
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
8591609-1205
UT
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
8591609-1205
UT
Other
Enumeration date
07/02/2007
Last updated
07/08/2024
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