Provider Information
Last Updated : Jul 26 2024 11:08 AM
Mark A Cunningham
City Clovis |
Group LASALLE MEDICAL ASSOCIATES |
Specialty General Surgery |
Last Name Cunningham |
First Name Mark |
Middle Name A |
Address 782 Medical Center Dr. East Ste 101 |
State CA |
Zip Code 93611 |
Phone (559)256-4111 |
Hours Mon - Fri 8:00 AM - 5:00 PM |
Gender M |
Title M.D. |
Physician ID 068535 |
Hospital Affiliation Clovis Community Hospital& Community Regional Medical Center& Fresno Heart And Surgical Hospital |
Extender 1 Last Name Kaur |
Extender 1 First Name Pawandeep |
Extender 1 License Type NP |
Extender 2 Last Name Ueltzen |
Extender 2 First Name Elizabeth |
Extender 2 Middle Name F |
Extender 2 License Type P.A. |
Section Number 4 |
County FRESNO |
Accepting New Patient Yes |
PPG NAME LASALLE MEDICAL ASSOCIATES |
PPG ID MFRF7 |
NPI Number 1174621593 |
Access Requirement Basic |
PARKING_IND P |
EXT_BUILD_IND EB |
INT_BUILD_IND IB |
RESTROOM_IND R |
EXAMROOM_IND E |
EXAMTBL_IND T |
License ID G075261 |
Board Certified Yes |
Self Access Flag Self Reported Data |
Panel Status Available by referral only |
PHY CCT IND N |