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Individual

DR. DANIEL MILTON RUNYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1674 N LIMESTONE ST, SPRINGFIELD, OH 45503-2652
(937) 322-6411
(937) 399-2346
Mailing address
1674 N LIMESTONE ST, SPRINGFIELD, OH 45503-2652
(937) 322-6411
(937) 399-2346

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2838 T1066
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004509000
AETNA
OH
05
0134358
OH
01
2220169
UHC
OH
01
410005118
MC RR
OH
Enumeration date
12/05/2006
Last updated
11/28/2011
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