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Individual

MRS. ERICA LYNNE IBENDAHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
ONE HOSPITAL DRIVE, MC 414 MCHANEY HALL, COLUMBIA, MO 65212
(573) 882-5609
(573) 884-4611
Mailing address
ONE HOSPITAL DRIVE, MC 414 MCHANEY HALL, COLUMBIA, MO 65212
(573) 882-5609
(573) 884-4611

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2012017823
MO

Other

Enumeration date
06/29/2012
Last updated
10/22/2020
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