Provider Demographics
NPI:1609912708
Name:COURY, ANNE M (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:M
Last Name:COURY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1550 S PIONEER WAY
Mailing Address - Street 2:SUITE 205
Mailing Address - City:MOSES LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98837-4613
Mailing Address - Country:US
Mailing Address - Phone:509-793-9786
Mailing Address - Fax:
Practice Address - Street 1:1550 S PIONEER WAY
Practice Address - Street 2:SUITE 205
Practice Address - City:MOSES LAKE
Practice Address - State:WA
Practice Address - Zip Code:98837-4613
Practice Address - Country:US
Practice Address - Phone:509-793-9786
Practice Address - Fax:509-764-3257
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO30702207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01307024Medicaid
CO01307024Medicaid
COE74612Medicare UPIN