Individual
DR. TODD K RUNYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11274 S FORTUNA RD STE I4, YUMA, AZ 85367-7849
(928) 247-6516
Mailing address
PO BOX 669, YUMA, AZ 85366-2329
(928) 247-6516
(602) 216-3000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
27578
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
474180
—
AZ
Enumeration date
02/20/2006
Last updated
06/23/2023
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