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Individual

MR. ROBERT ALEXANDER CUNNINGHAM JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC/L

Contact information

Practice address
1200 1ST AVE E STE C, SPENCER, IA 51301-4342
(712) 262-7511
Mailing address
1514 W 14TH ST, SPENCER, IA 51301-2864
(563) 370-8338

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00301
IA

Other

Enumeration date
02/16/2016
Last updated
02/16/2016
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