Mario Antonio Ibarra
NPI #1427341494 in Hurlburt Field, Florida
Provider Information
- NPI Number
- 1427341494
- Entity Type
- Individual
- Name
- Mario Antonio Ibarra
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Enumeration Date
- May 24, 2011
- Last Updated
- Oct 26, 2011
Practice Location
- Address
- 113 LIELMANIS AVE
- City
- Hurlburt Field
- State
- Florida
- ZIP Code
- 32544-5613
- Phone
- (228) 233-7997
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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