STEVEN S BORDUNOV DC - NPI 1417482084 - Chiropractor in Corte Madera, CA

Q: What is Steven Bordunov's NPI number?

The NPI number for Steven Bordunov is 1417482084. It was assigned to this individual provider in the NPPES registry on April 20, 2017.

Q: What is Steven Bordunov's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Steven Bordunov was last updated on April 20, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Steven S Bordunov Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEVEN S BORDUNOV DC (NPI 1417482084) is an individual chiropractor in Corte Madera, California, licensed in California (33797) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1417482084

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameSTEVEN S BORDUNOVCredential: DC

Location Address645 TAMALPAIS DRCorte Madera, CA 94925-1613

Mailing AddressP.o. Box 1848Novato, CA 94948 · (415) 892-7560 · Fax (415) 892-7509

Phone(415) 924-6500

Fax(415) 924-2879

Sole ProprietorNo

Enumeration DateApril 20, 2017

✔ NPI 1417482084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CA · 33797

Definition

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.

645 TAMALPAIS DR, Corte Madera, CA 94925

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