Samuel Runyan

NPI #1154787984 in Provo, Utah

Provider Information

NPI Number: 1154787984
Entity Type: Individual
Name: Samuel Runyan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jan 8, 2016
Last Updated: Jan 8, 2016

Practice Location

Address: 900 COLUMBIA LN
City: Provo
State: Utah
ZIP Code: 84604-1320
Phone: (801) 375-4240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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