Organization
PRINCETON FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN T. RUNYON D.O. (PHYSICIAN, OWNER)
(304) 431-7100
Entity
Organization
Contact information
Practice address
904 HARRISON ST, PRINCETON, WV 24740-3011
(304) 431-7100
(304) 431-7112
Mailing address
PO BOX 1589, PRINCETON, WV 24740-1589
(304) 431-7100
(304) 431-7112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2005
WV
Other
Enumeration date
08/19/2006
Last updated
08/22/2020
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