DR. Stanley Idiculla, DPM

NPI #1043274368 in Herndon, Virginia

Provider Information

NPI Number
1043274368
Entity Type
Individual
Name
DR. Stanley Idiculla, DPM
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Podiatrist - Foot Surgery
Credential
DPM
Enumeration Date
Apr 13, 2006
Last Updated
Dec 18, 2013

Practice Location

Address
112 ELDEN ST
Address 2
SUITE D
ZIP Code
20170-4874
Phone
(703) 437-5353

Specialties & Taxonomy Codes

Specialty
Podiatrist - Foot SurgeryFoot Surgery

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