Whalio Doctors

NPI 1336482645

Richard Willis Runyan, MD

Practitioner Pain Medicine (Anesthesiology) Physician Pocatello, ID

Practice location

Address
150 Vista Dr, Pocatello, ID 83201-5824
Phone
(208) 232-7246
Mailing address
3385 Potomac Way, Idaho Falls, ID 83404-4978

Registered specialties (2)

Pain Medicine (Anesthesiology) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207LP2900X Licence M-14202 (ID)
Anesthesiology Physician
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 9169428-8905 (UT)

Registry record

NPI
1336482645
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Apr 2013
Record last updated
25 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.