Individual
EDWIN J CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3801 S NATIONAL AVE, WEST TOWER, SUITE 700, SPRINGFIELD, MO 65807-5210
(417) 885-3888
(417) 881-7638
Mailing address
PO BOX 9434, SPRINGFIELD, MO 65801-9434
(417) 885-3888
(417) 881-7638
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
2005013024
MO
207T00000X
Neurological Surgery Physician
82517
OH
207T00000X
Neurological Surgery Physician
E4587
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0215052
DEPARTMENT OF LABOR WA
WA
01
—
106461
HEALTHLINK
MO
05
—
159350001
—
AR
01
—
198370
BLUE CROSS/CHOICE
MO
05
—
207278102
—
MO
01
—
2305711
UNITED HEALTHCARE
MO
01
—
23274
COX HEALTH PLANS UPI
MO
01
—
4188130001
CIGNA MEDICARE
MO
01
—
5N434
ARKANSAS BC/BS
AR
01
—
6060020300
QUAL CHOICE
AR
01
—
8719997003
CIGNA HEALTHCARE
MO
01
—
H91289
USPS (W/C)
MO
Enumeration date
05/30/2006
Last updated
09/30/2021
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