Individual
MR. PAUL R CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
808 N 5TH AVE, SEQUIM, WA 98382-3045
(360) 683-5900
(360) 582-4800
Mailing address
808 N 5TH AVE, SEQUIM, WA 98382-3045
(360) 683-5900
(360) 582-4800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00040246
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
501872
GP# PART A UNITED GOVERNM
WI
05
—
8320723
—
WA
Enumeration date
02/22/2006
Last updated
11/02/2010
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