person
Dr. Michael Blake Runyon, DPM
Foot Surgery Podiatrist in Van Nuys, California
NPI 1225006950

Michael Blake Runyon is a Foot Surgery Podiatrist based in Van Nuys, CA and is specialized in Foot Surgery. Michael Blake Runyon practices in Van Nuys, CA and has the professional credentials of DPM. The NPI Number for Michael Blake Runyon is 1225006950 and holds a License No. E1908 (California).

The current practice location address for Michael Blake Runyon is 13701 Burbank Blvd, Van Nuys, CA and can be reached out via phone at 818-997-1216 and via fax at 818-997-4458.

Location: 13701 Burbank Blvd, Van Nuys, CA, 91401-5040
person
Provider Profile Details
NPI Number
1225006950
Provider Name
Michael Blake Runyon
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
13701 Burbank Blvd, Van Nuys, CA, 91401-5040
Phone Number
818-997-1216
Fax Number
818-997-4458
Provider Enumeration Date
03/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
E1908 01 CA CALIFORNIA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
13701 Burbank Blvd
City
State
Zip
91401-5040
Phone Number
818-997-1216
Fax Number
818-997-4458
person
Provider Business Mailing Address Details
Address
13701 Burbank Blvd
City
State
Zip
91401-5040
Phone Number
818-997-1216
Fax Number
818-997-4458
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
E1908 (California)
Definition
Definition to come...
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