Organization
RUNK AND PRATT OF FOREST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN RUNK (CEO)
(434) 237-2268
Entity
Organization
Contact information
Practice address
208 GRISTMILL DR, FOREST, VA 24551-2604
(434) 385-8506
(434) 385-6678
Mailing address
208 GRISTMILL DR, FOREST, VA 24551-2604
(434) 385-8506
(434) 385-6678
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
RO-08129
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102578751
—
VA
Enumeration date
09/03/2008
Last updated
09/10/2008
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