NPI 1114954559

Anne A. Idiculla, MD

Practitioner Physical Medicine & Rehabilitation Physician Saint Joseph, MO

Practice location

Address: 802 N Riverside Rd Suite 260, Saint Joseph, MO 64507-9794
Phone: (816) 271-7673
Fax: (816) 271-4924
Mailing address: 802 N Riverside Rd Suite 130, Saint Joseph, MO 64507-2502

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 2001010866 (MO)

Other Physical Medicine & Rehabilitation providers in Missouri →

Registry record

NPI: 1114954559
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jun 2006
Record last updated: 6 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.