Alder Grove Orthopedic Spine

LBN: Vernon Medical Pllc
Alder Grove Orthopedic Spine is an health care organization with primary practice located at 630 E 1400 N Ste 118 , Logan UT 84341-2691. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Vernon Medical Pllc can be contacted via phone (435) 787-8146, or through Vernon, Brian A via phone (435) 787-8146.

Contact Information

Primary practice address
630 E 1400 N Ste 118 Logan UT 84341-2691
Phone: (435) 787-8146
Fax: (435) 787-8149
Website:
Map and Directions
Authorized official contact:
Name: Vernon, Brian A Doctor of Medicine (MD)
Phone: (435) 787-8146

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X

Profile Details

NPI number 1437623261
LBN Legal business name Vernon Medical Pllc
DBA Doing business as Alder Grove Orthopedic Spine
Authorized official Vernon, Brian A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2019
Last updated May 15th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437623261 NPPES
Utah Other 8591609-1205 MEDICAL LICENSE

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