Provider Demographics
NPI:1750475810
Name:BOND, ROGER ARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:ROGER
Middle Name:ARIE
Last Name:BOND
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1684 REUNION AVE STE 250
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-4626
Mailing Address - Country:US
Mailing Address - Phone:801-562-0363
Mailing Address - Fax:801-562-0347
Practice Address - Street 1:1684 REUNION AVE STE 250
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84095-4626
Practice Address - Country:US
Practice Address - Phone:801-562-0363
Practice Address - Fax:801-562-0347
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT175401-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor