MR. Mario Enrique De La Barrera, PA-C
NPI #1508244146 in Wright Patterson Afb, Ohio
Provider Information
- NPI Number
- 1508244146
- Entity Type
- Individual
- Name
- MR. Mario Enrique De La Barrera, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- May 15, 2015
- Last Updated
- Mar 15, 2023
Practice Location
- Address
- 4881 SUGAR MAPLE DR
- State
- Ohio
- ZIP Code
- 45433-5529
- Phone
- (937) 713-1237
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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