Individual
DR. RYAN KONDO CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-5103
(570) 271-6301
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT197836
PA
2085R0202X
Diagnostic Radiology Physician
Primary
MD457330
PA
2085R0202X
Diagnostic Radiology Physician
MT197836
PA
Other
Enumeration date
06/25/2010
Last updated
08/05/2020
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