NPI 1164799383

Brandon a Venden, DC

Practitioner Chiropractor Bossier City, LA

Practice location

Address: 1611 Jimmie Davis Hwy Suite C, Bossier City, LA 71112-4556
Phone: (318) 752-1201
Fax: (318) 752-1203

Registered specialties (2)

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 1625 (LA)

Other Chiropractor providers in Louisiana →

Nutrition Chiropractor

Chiropractic Providers Taxonomy 111NN1001X Licence 1625 (LA)

Registry record

NPI: 1164799383
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Nov 2011
Record last updated: 17 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.