Doctor Name: | DR. MELISSA RUNGE |
NPI Number: | 1881820413 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 422 Medical Squadron Croughton Ab, Uk Apo, AE - 094940000 |
Business Phone Number: | 011441280708000 |
Business Fax Number: | |
Mailing Address: | Psc 50 Box 296, APO |
State: | AE |
Postal Code: | 094940003 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/10/2009 |
NPI Last Update Date: | 07/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |