Individual
BLAIR CAMILLE RUNDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12493 UNIVERSITY AVE STE 100, CLIVE, IA 50325-8286
(515) 358-9461
(515) 358-9489
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 358-9461
(515) 358-9489
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
5783
MN
363A00000X
Physician Assistant
Primary
101525
IA
Other
Enumeration date
04/03/2012
Last updated
02/01/2022
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