Individual
ANNE L PALUMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
913 NW GARDEN VALLY BLVD, ROSEBURG VA HEALTHCARE SYSTEM, ROSEBURG, OR 97471
(541) 440-1377
Mailing address
11905 56TH ST W, MILAN, IL 61264-4434
(563) 271-4846
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
036101964
IL
207RI0200X
Infectious Disease Physician
3368
IA
207RI0200X
Infectious Disease Physician
Primary
OS008197L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036101964
—
IL
05
—
0418517
—
IA
01
—
084958
HEALTH ALLIANCE
—
01
—
1305894
CONTROLLED SUBSTANCE#
IA
01
—
13403
BC/BS OF IA
IA
01
—
8122859
IL BC/BS
IL
01
—
G19598
UPIN
—
01
—
IA01A1
JOHN DEERE EDI#
IA
Enumeration date
09/21/2005
Last updated
03/07/2023
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