Individual
MATTHEW KIMBALL RUNYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2635 N 7TH ST, GRAND JCT, CO 81501-8209
(970) 244-2273
Mailing address
1120 WELLINGTON AVE, SUITE 206, GRAND JUNCTION, CO 81501-6129
(970) 243-7245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
46772
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36331236
—
CO
Enumeration date
01/26/2007
Last updated
03/06/2009
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