Individual
DR. PAUL FRANK RUNDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2703 FAIRMONT AVE, FAIRMONT, WV 26554-3450
(304) 367-1131
(304) 367-1141
Mailing address
2703 FAIRMONT AVE, FAIRMONT, WV 26554-3450
(304) 367-1131
(304) 367-1141
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
820
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11430994
CAQH
WV
05
—
3810002055
—
WV
01
—
4282386
CIGNA HEALTHCARE
WV
01
—
WV00820
THE HEALTH PLAN
WV
Enumeration date
09/06/2006
Last updated
07/09/2007
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