MS. Susan Mary Runyan, REGISTERED DIETITIAN
NPI #1760442297 in Eielson Afb, Alaska
Provider Information
- NPI Number
- 1760442297
- Entity Type
- Individual
- Name
- MS. Susan Mary Runyan, REGISTERED DIETITIAN
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dietitian, Registered
- Credential
- REGISTERED DIETITIAN
- Enumeration Date
- Mar 27, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 354TH MEDICAL GROUP
- Address 2
- 2630 CENTRAL AVE, SUITE 1M07
- City
- Eielson Afb
- State
- Alaska
- ZIP Code
- 99702
- Phone
- (907) 377-6662
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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