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Individual

DR. CHARLES EDWIN RUNYAN III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 989-0412
Mailing address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(601) 989-0412

Taxonomy

Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
52027
AZ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/10/2015
Last updated
05/18/2020
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