ANNE A. IDICULLA

SAINT JOSEPH, MO
NPI1114954559
Former NameANNE J. THOMAS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: MO  2001010866)
Enumeration Date2006-06-28
Last Update Date2017-10-06
Business Address
ANNE A. IDICULLA M.D.
802 N RIVERSIDE RD SUITE 260
SAINT JOSEPH, MO 64507-9794
Phone number: 816-271-7673
Mailing Address
ANNE A. IDICULLA M.D.
802 N RIVERSIDE RD SUITE 130
SAINT JOSEPH, MO 64507-2502
Phone number: 816-271-7673
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