Individual
MITCHELL L RUNGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2031 ZUMBEHL RD, SAINT CHARLES, MO 63303-2723
(636) 206-2690
(636) 206-2691
Mailing address
2031 ZUMBEHL RD, SAINT CHARLES, MO 63303-2723
(636) 206-2690
(636) 206-2691
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2018030949
MO
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
07/17/2018
Last updated
09/15/2022
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