Runyan, Richard Willis

Runyan, Richard Willis is an sole proprietor health care provider with primary practice located at 150 Vista Dr , Pocatello ID 83201-5824. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Runyan, Richard Willis can be contacted via phone (208) 232-7246.

Contact Information

Primary practice address
150 Vista Dr Pocatello ID 83201-5824
Phone: (208) 232-7246
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 9169428-8905 Utah
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X M-14202 Idaho

Profile Details

NPI number 1336482645
LBN Legal business name Runyan, Richard Willis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2013
Last updated Oct 25th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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