Organization
GARY K. CUNNINGHAM, D.O.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY KINCAID CUNNINGHAM II D.O (PHYSICIAN)
(918) 488-8888
Entity
Organization
Contact information
Practice address
6901 S YORKTOWN AVE, SUITE C, TULSA, OK 74136-3986
(918) 488-8888
(918) 488-9512
Mailing address
6901 S YORKTOWN AVE, SUITE C, TULSA, OK 74136-3986
(918) 488-8888
(918) 488-9512
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2745
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
447687655-00
BCBS
OK
01
—
A002
TRICARE HUMANA
OK
Enumeration date
04/02/2007
Last updated
08/22/2020
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