Individual
FRANK E CUNNINGHAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2261 PHILADELPHIA DR, DAYTON, OH 45406-1814
(937) 734-4141
Mailing address
9000 N MAIN ST, SUITE G-35, DAYTON, OH 45415-1180
(937) 836-4361
(937) 836-1140
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.079126
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000353800
ANTHEM ID
OH
01
—
201763035
TAX ID
OH
01
—
201763035026
CARESOURCE ID
OH
05
—
2330669
—
OH
01
—
7812378
AETNA ID
OH
01
—
D7912603
CHOICECARE ID
OH
Enumeration date
07/13/2005
Last updated
01/18/2021
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