# PRINCETON FAMILY MEDICINE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154435881
- **Authorized official:** DR. RYAN T. RUNYON D.O. (PHYSICIAN, OWNER)
- **Authorized official phone:** (304) 431-7100

## Contact information

- **Practice address:** 904 HARRISON ST, PRINCETON, WV 24740-3011
- **Practice address phone:** (304) 431-7100
- **Practice address fax:** (304) 431-7112
- **Mailing address:** PO BOX 1589, PRINCETON, WV 24740-1589
- **Mailing address phone:** (304) 431-7100
- **Mailing address fax:** (304) 431-7112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2005 | WV | Yes |

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 08/22/2020