Individual
BARBARA J RUNQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1300 N 12TH ST, SUITE 404, PHOENIX, AZ 85006-2848
(602) 839-0265
(602) 839-0270
Mailing address
1300 N 12TH ST, SUITE 404, PHOENIX, AZ 85006-2848
(602) 839-0265
(602) 839-0270
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
096567
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
442278
—
AZ
Enumeration date
03/10/2006
Last updated
07/16/2010
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