Individual
DR. ANNE C DIBALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
71 S FLANNAGAN AVENUE, LEBANON, VA 24266
(276) 883-8042
(276) 883-8044
Mailing address
71 S FLANNAGAN AVENUE, LEBANON, VA 24266
(276) 883-8042
(276) 883-8044
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101047498
VA
2084P0800X
Psychiatry Physician
13214
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132145
—
SC
05
—
1487614301
—
VA
05
—
327877
—
SC
05
—
405127
—
SC
01
—
534147000
MAGELLAN
VA
01
—
P01414635
RAILROAD MEDICARE
VA
Enumeration date
03/24/2006
Last updated
02/07/2017
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