Individual provider · NPI-1

Holly H Bondurant, M.D.

Pediatrics, Adolescent Medicine · Columbia, MO

NPI number1548237134
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1548237134
Entity type
Individual (NPI-1)
Name
Holly H Bondurant
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Mar 2, 2006
Last updated
Jul 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080A0000X Pediatrics, Adolescent Medicine103758MOYes

Practice location

401 Keene St
Columbia, MO 65201-6625

Phone 573-876-1620 · Fax 573-876-1663

Mailing address

401 Keene St
Columbia, MO 65201-6625

Phone 573-876-1620 · Fax 573-876-1663

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