Individual
ZACHARY ALLEN RUNGE KLEINPETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1111 MEDICAL CENTER BLVD STE S630, MARRERO, LA 70072
(504) 934-8320
(504) 934-8940
Mailing address
1111 MEDICAL CENTER BLVD STE S750, MARRERO, LA 70072-3197
(504) 340-6976
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
310190
LA
363AM0700X
Medical Physician Assistant
310190
LA
363AS0400X
Surgical Physician Assistant
310190
LA
Other
Enumeration date
07/30/2018
Last updated
12/10/2018
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