Runfola, Mark Anthony
Runfola, Mark Anthony is an individual health care provider with primary practice located at 2945 S Dobson Rd , Mesa AZ 85202-7980. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Runfola, Mark Anthony can be contacted via phone (480) 969-4138.Contact Information
Primary practice address
2945 S Dobson Rd
Mesa AZ 85202-7980
Phone: (480) 969-4138
Fax: (480) 969-0630
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 28152 | Arizona |
Profile Details
| NPI number | 1972509016 |
|---|---|
| LBN Legal business name | Runfola, Mark Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Feb 28th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972509016 | NPPES |
| Arizona | MEDICAID | 536360 |
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