Individual
DR. JACK B. CUNNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1643 RIDGE RD, WARRIORS MARK, PA 16877-6428
(814) 632-9865
Mailing address
1643 RIDGE RD, WARRIORS MARK, PA 16877-6428
(814) 632-9865
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-003217-L
PA
111NS0005X
Sports Physician Chiropractor
DC-003217-L
PA
Other
Enumeration date
06/15/2009
Last updated
06/18/2009
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