Provider Demographics
NPI:1952427379
Name:BOND, GREGORY DAVID (DC)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:DAVID
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 1:1362 BARBUDA PL
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-8864
Mailing Address - Country:US
Mailing Address - Phone:832-794-8816
Mailing Address - Fax:
Practice Address - Street 1:257 JOHNSTOWN CENTER DR UNIT 110
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:CO
Practice Address - Zip Code:80534-7847
Practice Address - Country:US
Practice Address - Phone:832-794-8816
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6050111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor