Organization
VERNON MEDICAL PLLC
Active
Other names
Alder Grove Orthopedic Spine
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN A VERNON MD (OWNER)
(435) 787-8146
Entity
Organization
Contact information
Practice address
630 E 1400 N STE 118, LOGAN, UT 84341-2691
(435) 787-8146
(435) 787-8149
Mailing address
630 E 1400 N STE 118, LOGAN, UT 84341-2691
(435) 799-7953
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8591609-1205
MEDICAL LICENSE
UT
Enumeration date
01/15/2019
Last updated
05/15/2019
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