Organization
RUNYON'S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY L RUNYON (OWNER/OPERATOR)
(419) 529-2150
Entity
Organization
Contact information
Practice address
279 LENOX AVE, MANSFIELD, OH 44906-2519
(419) 529-2150
(419) 529-8408
Mailing address
279 LENOX AVE, MANSFIELD, OH 44906-2519
(419) 529-2150
(419) 529-8408
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
171W00000X
OH
Other
Enumeration date
06/02/2006
Last updated
08/18/2008
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