Individual
DR. DESMOND K RUNYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13123 E 16TH AVE, B390, AURORA, CO 80045-7106
(303) 864-5364
(303) 864-5367
Mailing address
PO BOX 876, AURORA, CO 80040-0876
(303) 493-7000
(303) 864-5367
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
000023661
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8973996
—
NC
Enumeration date
07/21/2006
Last updated
08/10/2011
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