Individual
BRAD C RUNYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4575 BYRD DR, LOVELAND, CO 80538-7198
(970) 593-3300
Mailing address
1214 RUE CT, FORT COLLINS, CO 80526-3847
(970) 217-8861
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
35264
CO
207Y00000X
Otolaryngology Physician
Primary
35264
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01352640
—
CO
01
—
C446778
MEDICARE PTAN
CO
Enumeration date
06/12/2006
Last updated
11/08/2023
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