Phillip Runyan, | |
3399 Finch Rd, Bismarck, AR 71929-7541 | |
(501) 865-3363 | |
Not Available |
Full Name | Phillip Runyan |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 3399 Finch Rd, Bismarck, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063685840 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Tfs Of Gurdon Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639180805 PECOS PAC ID: 3971594052 Enrollment ID: O20061012000608 |
Mailing Address | Practice Location Address |
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Phillip Runyan, Po Box 108, Bismarck, AR 71929-0108 Ph: (501) 865-3363 | Phillip Runyan, 3399 Finch Rd, Bismarck, AR 71929-7541 Ph: (501) 865-3363 |
Nicole Leanne Smart, CIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4956 Hickory Grove Rd, Bismarck, AR 71929 Phone: 870-353-8367 | |
Heather Roberts, MS, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3399 Finch Road, Bismarck, AR 71929 Phone: 501-865-3363 Fax: 501-865-3362 | |
Terrie Canterbury, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1655 Fendley Rd, Bismarck, AR 71929 Phone: 501-802-7416 | |
Ms. Juanna Jo Cromwell, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3399 Finch Rd, Bismarck, AR 71929 Phone: 501-865-3363 Fax: 501-865-3362 | |
Mrs. Saundra Leanne Schultz, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3399 Finch Rd, Bismarck, AR 71929 Phone: 501-865-3363 | |
Mrs. Julie Dickerson, MS, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3399 Finch Road, Bismarck, AR 71929 Phone: 501-865-3363 Fax: 501-865-3362 |