Individual
MR. DAVID WAYNE RUNYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
415 CARRIAGE DRIVE, BECKLEY, WV 25801
(304) 250-0142
(304) 253-7262
Mailing address
415 CARRIAGE DRIVE, BECKLEY, WV 25801
(304) 250-0142
(304) 253-7262
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
PA9109546
FL
363AS0400X
Surgical Physician Assistant
Primary
838
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022138600
—
FL
01
—
IQ891Z
MEDICARE
FL
Enumeration date
07/07/2005
Last updated
02/19/2026
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