Individual
CLAY STUART RUNYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1109 MAIN ST, SPEARFISH, SD 57783-1424
(605) 642-7111
(605) 644-1334
Mailing address
1109 MAIN ST, SPEARFISH, SD 57783-1424
(605) 642-7111
(605) 644-1334
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
744
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080135
BCBS WELLMARK
SD
05
—
7603220
—
SD
Enumeration date
04/04/2007
Last updated
07/08/2007
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