Individual
WILLIAM F CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3850 S NATIONAL AVE, SUITE 600, SPRINGFIELD, MO 65807-5287
(417) 882-4880
(417) 882-7843
Mailing address
10140 E STATE HIGHWAY D, ROGERSVILLE, MO 65742-7534
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
R7D69
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0628420001
DMERC
MO
01
—
110042512
RAILROAD MEDICARE
MO
05
—
202165205
—
MO
01
—
25578
ANTHEM BCBS
MO
01
—
3640000
UNITED HEALTHCARE
MO
Enumeration date
03/10/2006
Last updated
01/25/2023
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