MEDICARE: ARIZONA BONE & JOINT PC

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	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1407821812
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARIZONA BONE & JOINT PC

Provider Business Mailing Address
First Line	:	PO BOX 27340
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85061-7340
Country	:	US
Telephone Number	:	602-943-9200
Fax Number	:	602-216-3000

Provider Business Practice Location Address
First Line	:	2851 S AVENUE B
Second Line	:
City	:	YUMA
State	:	AZ
Zip	:	85364-7726
Country	:	US
Telephone Number	:	928-726-5600
Fax Number	:	928-726-7119

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. TODD K RUNYAN
Credential	:	M.D.
Telephone Number	:	928-726-5600

Provider Enumeration Date	:	02/20/2006
Last Update Date	:	07/19/2008

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Directions to “ARIZONA BONE & JOINT PC ” Practice Location

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