MEDICARE: DR. CRAIG RUNBECK NMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175F00000X	Naturopath	97-504	AZ

General Provider Information

NPI Number	:	1386983237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CRAIG RUNBECK NMD

Provider Business Mailing Address
First Line	:	8050 S 29TH AVE
Second Line	:
City	:	LAVEEN
State	:	AZ
Zip	:	85339-1855
Country	:	US
Telephone Number	:	602-237-9910
Fax Number	:

Provider Business Practice Location Address
First Line	:	7207 S 39TH AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85041-7200
Country	:	US
Telephone Number	:	602-237-9910
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2013
Last Update Date	:	02/12/2013

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