Blair Camille Runde, PA-C

NPI #1013273143 in Clive, Iowa

Provider Information

NPI Number: 1013273143
Entity Type: Individual
Name: Blair Camille Runde, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 3, 2012
Last Updated: Feb 1, 2022

Practice Location

Address: 12493 UNIVERSITY AVE STE 100
City: Clive
State: Iowa
ZIP Code: 50325-8286
Phone: (515) 358-9461

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X
Physician Assistant	363A00000X	Primary

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