Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | R7D69 | MO |
NPI | 1043288483 |
---|---|
Provider Name | William F Cunningham |
First Address | Springfield, MO 65807-5287 |
Second Address | Springfield, MO 65807-5287 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2006 |
Last Update Date | 22/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0628420001 | DMERC (01) | MO |
110042512 | RAILROAD MEDICARE (01) | MO |
202165205 | (05) | MO |
25578 | ANTHEM BCBS (01) | MO |
3640000 | UNITED HEALTHCARE (01) | MO |
A28121 | (02) |