Individual
ROBIN CHARLES RUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.A.
Contact information
Practice address
711 BARNES AVE, LA JUNTA, CO 81050-2138
(719) 384-5446
(719) 384-5672
Mailing address
921 GRACE AVE, LA JUNTA, CO 81050-2530
(719) 468-2037
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005-066
NCPT
CO
Enumeration date
02/26/2007
Last updated
07/08/2007
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