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Provider Information - CalViva Health
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Provider Information

Last Updated : Sep 5 2025 2:28 PM

Mark A Cunningham

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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
PHY CCT IND
N
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