Individual
BEVAN VERN BASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
PO BOX 759, GUNNISON, UT 84634-0759
(435) 528-7246
Mailing address
HC 64 BOX 21120, AXTELL, UT 84621-5505
(435) 851-1338
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
187675-1205
UT
Other
Enumeration date
07/28/2005
Last updated
01/28/2026
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