Individual
DR. MARK ALAN CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4215 LYNN DR, EL DORADO, AR 71730-8670
(870) 862-2442
Mailing address
4215 LYNN DR, EL DORADO, AR 71730-8670
(870) 862-2442
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D9980
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150366601
—
TX
05
—
150366605
—
TX
Enumeration date
12/28/2005
Last updated
02/02/2010
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