Gabriel Martin Ibarra, PA
NPI #1518521145 in Canton, Mississippi
Provider Information
- NPI Number
- 1518521145
- Entity Type
- Individual
- Name
- Gabriel Martin Ibarra, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- Apr 29, 2019
- Last Updated
- Apr 29, 2019
Practice Location
- Address
- 112 SOUTHLAKE CIR
- City
- Canton
- State
- Mississippi
- ZIP Code
- 39046-5368
- Phone
- (601) 859-8550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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