NPI 1740384452 · live from the CMS NPI Registry
Brent Levi Bondurant, D.C.
Chiropractor in Laramie, WY. National Provider Identifier 1740384452, active.
NPI record
| NPI | 1740384452 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 212 E Ivinson Ave, Laramie, WY 82070 |
| Practice phone | 307-742-4332 |
| Mailing address | 212 East Ivinson, Laramie, WY 82070 |
| Enumerated | September 12, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 658 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.