Whalio Doctors

NPI 1013273143

Blair Camille Runde, PAC

Practitioner Physician Assistant Clive, IA

Practice location

Address
12493 University Ave STE 100, Clive, IA 50325-8286
Phone
(515) 358-9461
Fax
(515) 358-9489
Mailing address
PO Box 1475, Des Moines, IA 50305-1475

Registered specialties (2)

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 101525 (IA)
Chiropractor
Chiropractic Providers Taxonomy 111N00000X Licence 5783 (MN)

Registry record

NPI
1013273143
Entity type
Individual
Sex (as registered)
Female
NPI issued
3 Apr 2012
Record last updated
1 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.