# CHARLES W CUNNINGHAM DO LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033291414
- **Authorized official:** CHARLES W CUNNINGHAM D.O. (PHYSICIAN OWNER)
- **Authorized official phone:** (573) 729-5533

## Contact information

- **Practice address:** 1010 HWY 32 EAST, SALEM, MO 65560-0399
- **Practice address phone:** (573) 729-5533
- **Practice address fax:** (573) 729-7754
- **Mailing address:** 1010 HWY 32 EAST, P O BOX 399, SALEM, MO 65560-0399
- **Mailing address phone:** (573) 729-5533
- **Mailing address fax:** (573) 729-7754

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/19/2006
- **Last updated:** 10/11/2007