Individual provider · Type 1 NPI

Brent Levi Bondurant, DC

Chiropractor · Laramie, WY

NPI number 1740384452 Active

Practice location

212 E Ivinson Ave
Laramie, WY 82070-3039

Call (307) 742-4332 Map

Fax (307) 745-1536

Mailing address

212 East Ivinson
Laramie, WY 82070

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X658 (WY)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1740384452

Brent Levi Bondurant, DC's National Provider Identifier is 1740384452, issued on Sep 12, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Laramie, WY. The record was last updated on Jul 8, 2007.