Provider Demographics
NPI:1629035944
Name:CUNNING, DEVIN MATTHEW (MD)
Entity Type:Individual
Prefix:DR
First Name:DEVIN
Middle Name:MATTHEW
Last Name:CUNNING
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1760 MCCULLOCH BLVD N
Mailing Address - Street 2:STE. 100
Mailing Address - City:LAKE HAVASU CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86403-6559
Mailing Address - Country:US
Mailing Address - Phone:928-854-5368
Mailing Address - Fax:928-854-4462
Practice Address - Street 1:1760 MCCULLOCH BLVD N
Practice Address - Street 2:STE. 100
Practice Address - City:LAKE HAVASU CITY
Practice Address - State:AZ
Practice Address - Zip Code:86403-6559
Practice Address - Country:US
Practice Address - Phone:928-854-5368
Practice Address - Fax:928-854-4462
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2020-08-12
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Provider Licenses
StateLicense IDTaxonomies
AZ27267207YX0602X, 207YX0905X, 207Y00000X, 207YS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic Allergy
No207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
No207YS0012XAllopathic & Osteopathic PhysiciansOtolaryngologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ469868Medicaid
AZ469868Medicaid
AZG92497Medicare UPIN