Individual
CHARLES ROBERT RUNSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 EMERGENCY ROOM DR, CHAPEL HILL, NC 27599-5035
(919) 966-2281
Mailing address
222 OLD FAYETTEVILLE RD APT C304, CARRBORO, NC 27510-5506
(231) 878-0305
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-5616
NC
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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