Individual
ISABELLA VICTORIA BALDACCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-8000
Mailing address
525 N KEENE ST STE 301, COLUMBIA, MO 65201-8106
(573) 449-2141
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/11/2021
Last updated
11/29/2021
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