Bear River Spine Center, Pllc

NPI #1043771645 in Logan, Utah

Provider Information

NPI Number: 1043771645
Entity Type: Organization
Organization Name: Bear River Spine Center, Pllc
Primary Specialty: Clinic/Center - Magnetic Resonance Imaging (MRI)
Enumeration Date: Mar 27, 2019
Last Updated: Apr 2, 2019

Practice Location

Address: 630 E 1400 N STE 115
City: Logan
State: Utah
ZIP Code: 84341-2691
Phone: (435) 799-7955

Authorized Official

Name: BRIAN VERNON, MD
Title: CEO
Phone: (435) 799-7955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiology - Diagnostic Radiology — Diagnostic Radiology	2085R0202X
Clinic/Center - Magnetic Resonance Imaging (MRI) — Magnetic Resonance Imaging (MRI)	261QM1200X	Primary

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