DR. Brent Levi Bondurant, D.C.

NPI #1740384452 in Laramie, Wyoming

Provider Information

NPI Number: 1740384452
Entity Type: Individual
Name: DR. Brent Levi Bondurant, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Sep 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 212 E IVINSON AVE
City: Laramie
State: Wyoming
ZIP Code: 82070-3039
Phone: (307) 742-4332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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