Individual
ELLIOT RUNGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102206478
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
DO3911
NV
Other
Enumeration date
03/18/2019
Last updated
11/05/2025
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