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Individual

DR. RJ REED RUNGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1000 CORPORATE PKWY, SUITE 102, WENTZVILLE, MO 63385-4859
(636) 327-4446
(636) 327-0446
Mailing address
1000 CORPORATE PKWY, SUITE 102, WENTZVILLE, MO 63385-4859
(636) 327-4446
(636) 327-0446

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2002025276
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
129482
GHP
MO
01
168964
BLUE CROSS BLUE SHIELD
MO
01
515261
HEALTHLINK
MO
Enumeration date
04/04/2007
Last updated
07/08/2007
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