Individual
MARK ANTHONY RUNFOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2945 S DOBSON RD, MESA, AZ 85202-7980
(480) 969-4138
(480) 969-0630
Mailing address
2945 S DOBSON RD, MESA, AZ 85202-7980
(480) 969-4138
(480) 969-0630
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
28152
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
536360
—
AZ
Enumeration date
06/23/2005
Last updated
02/28/2018
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