Organization
BRAD C RUNYAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA DREW (OFFICE MANAGER)
(970) 212-0169
Entity
Organization
Contact information
Practice address
2121 E HARMONY RD UNIT 350, FORT COLLINS, CO 80528-3404
(970) 212-0169
Mailing address
2121 E HARMONY RD UNIT 350, FORT COLLINS, CO 80528-3404
(970) 212-0169
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35264
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01352640
—
CO
Enumeration date
08/01/2007
Last updated
12/14/2011
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