Individual
MR. BART ALLEN BRUNDAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
8 BANTA ST, SUITE 406, PHELPS, NY 14532
(315) 548-2225
(716) 672-8711
Mailing address
8 BANTA ST, SUITE 406, PHELPS, NY 14532
(315) 548-2225
(716) 672-8711
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0097511
NY
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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