Individual
JOSEPH AUSTIN RUNYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1003 BELLEFONTAINE AVE, LIMA, OH 45804-2868
(419) 228-3335
Mailing address
4 SURREY CT, PLAIN CITY, OH 43064-2107
(614) 937-8994
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
63568
NM
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0020350
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0469360
—
OH
Enumeration date
07/01/2021
Last updated
03/11/2022
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