Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANNE A. IDICULLA, M.D.
ActiveANNE A. IDICULLA, M.D. is a Physical Medicine & Rehabilitation healthcare provider located in SAINT JOSEPH, Missouri. NPI 1114954559 is currently active in the NPPES registry. Verify at CMS.
Physical Medicine & Rehabilitation · SAINT JOSEPH, MO
Registration Details
- NPI Number
- 1114954559
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 28, 2006 (20.139958958094 yrs)
- Last Updated
- Oct 6, 2017
- License
-
2001010866 (MO)
Practice Information
- Address
-
802 N RIVERSIDE RDSUITE 260SAINT JOSEPH, MO, 645079794Browse MO providers · Browse ZIP 64507
- Phone
- 8162717673
- Fax
- 8162714924
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
Other Physical Medicine & Rehabilitation Providers in SAINT JOSEPH, MO
| Name | Credential | NPI |
|---|---|---|
| DR. KENTON C. FREEMAN | MD | 1043291297 |
| WILLIAM A. DODSON | M.D. | 1235116625 |
| DR. TIMMY ALAN FERRELL | MD | 1467563460 |
| JON GERTKEN | MD | 1669670501 |
| DR. PETER ANTHONY DAWSON | MD | 1407141492 |
| DR. ANTHONY EZEMBA | — | 1336546084 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.