Individual
DOUGLAS L CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4350 N 19TH AVE, SUITE 6, PHOENIX, AZ 85015-4602
(602) 264-9191
(602) 532-2973
Mailing address
4350 N 19TH AVE, SUITE 6, PHOENIX, AZ 85015-4602
(602) 264-9191
(602) 532-2973
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2325
AZ
207QG0300X
Geriatric Medicine (Family Medicine) Physician
2325
AZ
Other
Enumeration date
07/03/2006
Last updated
04/13/2021
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