Individual
DENNIS BRANDON RUNYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 672-6620
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28282019A
IN
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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