Individual
MEGAN M CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8600 N STATE ROUTE 91, PEORIA, IL 61615-9541
(309) 683-5050
(309) 683-5335
Mailing address
6823 ISAACS ORCHARD RD, SPRINGDALE, AR 72762-6096
(479) 750-2080
(479) 750-2082
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-005302
IL
Other
Enumeration date
10/10/2014
Last updated
08/10/2020
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