Individual
MR. GENE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1328 BROADWAY AVENUE, PARKERSBURG, WV 26101
(304) 422-8661
Mailing address
1328 BROADWAY AVENUE, PARKERSBURG, WV 26101
(304) 422-8661
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
663
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5600243000
—
WV
Enumeration date
03/08/2007
Last updated
07/08/2007
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