Organization
SPORTSCARE MEDICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHADLEY MILTON RUNYAN MD (PRESIDENT)
(304) 525-5035
Entity
Organization
Contact information
Practice address
320 LYNDA CT, HUNTINGTON, WV 25703
(304) 525-5035
Mailing address
PO BOX 2165, HUNTINGTON, WV 25722
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
20909
WV
Other
Enumeration date
10/10/2006
Last updated
08/22/2020
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