Vernon Medical Pllc

NPI #1699238436 in Logan, Utah

Provider Information

NPI Number: 1699238436
Entity Type: Organization
Organization Name: Vernon Medical Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: VERNON MEDICAL PLLC
Primary Specialty: Pediatrics
Enumeration Date: Apr 9, 2019
Last Updated: Apr 9, 2019

Practice Location

Address: 630 E 1400 N STE 118
City: Logan
State: Utah
ZIP Code: 84341-2691
Phone: (435) 799-7953

Authorized Official

Name: BRIAN A VERNON, MD
Title: OWNER
Phone: (435) 799-7953

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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