Individual
LEE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 SW RAMSEY AVENUE, GRANTS PASS, OR 97527-5554
(541) 472-7000
(434) 924-0401
Mailing address
PO BOX 4749, MEDFORD, OR 97501-0227
(541) 789-5516
(541) 789-5538
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD171835
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2012
Last updated
07/10/2015
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