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BRANDON A VENDEN D.C.

Chiropractic Providers Chiropractor

Provider NPI: 1164799383

Provider Information:
 BRANDON A VENDEN D.C.
Gender: M
Sole Proprietor

Practice Location:
1611 JIMMIE DAVIS HWY SUITE C BOSSIER CITY, LA 71112-4556 US
Tel: 318-752-1201  Fax: 318-752-1203

Business Mailing Address:
1611 JIMMIE DAVIS HWY SUITE C BOSSIER CITY, LA 71112-4556 US
Tel: 318-752-1201  Fax: 318-752-1203

NPI Information:
NPI: 1164799383
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
LA1625
N111NN1001XChiropractic Providers
Chiropractor
LA1625

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 111N00000X

Type:

Classification:



Definition:



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