Individual
DOUGLAS CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1805 EDGEWATER AVE, CHEYENNE, WY 82009-7311
(307) 637-3952
Mailing address
1805 EDGEWATER AVE, CHEYENNE, WY 82009-7311
(307) 637-3952
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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