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Contact Information

DAVID W RUNYON, PA-C
415 CARRIAGE DRIVE
BECKLEY, WV25801
 Phone: 304-250-0142
 Fax: 304-253-7262
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for DAVID W RUNYON · (Male)

NPI # 1518964238
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/07/2005
Last updated 02/19/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • FL License # PA9109546
  • WV License # 838
  • FL Medicaid 022138600
  • FL Other IQ891Z MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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