Most Relevant Information
Provider Data
| NPI Number: | 1003236860 |
| Provider Name: | ALEC CHASE RUNYON |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/21/2014 |
| Last Updated: | 04/06/2021 |
Provider Practice Location
9127 W RUSSELL RD STE 110
LAS VEGAS
NV
891481253
Practice Location Phone/Fax
| Phone: | 7028780070 |
| Fax: | 7022092064 |
Provider Mailing Location
PO BOX 840857
DALLAS
TX
752840857
Provider Mailing Phone/Fax
| Phone: | 7028780070 |
| Fax: | 7022092064 |