Individual
MR. BRENT MICHAEL BOGDANOVECZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
317 COLLEGE AVE, ALVA, OK 73717
(580) 327-0032
(580) 327-0330
Mailing address
317 COLLEGE AVE, ALVA, OK 73717
(580) 327-0032
(580) 327-0330
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3505
OK
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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