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Dr. Gustavo Barraza, MD
General Practice Physician in Lomas Altas, N/A
NPI 1396437224

Gustavo Barraza is a General Practice Physician based in Metepec, . Gustavo Barraza practices in Lomas Altas, and has the professional credentials of MD. The NPI Number for Gustavo Barraza is 1396437224 and holds a License No. 60-P121345-01 (N/A).

The current practice location address for Gustavo Barraza is Av. Paseo De La Reforma 2608 Piso 6, Lomas Altas, and can be reached out via phone at 555-081-2200.

Location: Av. Paseo De La Reforma 2608 Piso 6, Lomas Altas, , 52140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396437224
Provider Name
Gustavo Barraza
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Av. Paseo De La Reforma 2608 Piso 6, Lomas Altas, , 52140
Phone Number
555-081-2200
Fax Number
Provider Enumeration Date
05/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Av. Paseo De La Reforma 2608 Piso 6
City
Lomas Altas
State
Zip
11950
Phone Number
555-081-2200
Fax Number
person
Provider Business Mailing Address Details
Address
Av. Paseo De La Reforma 2608 Piso 6
City
Lomas Altas
State
Zip
11950
Phone Number
555-081-2200
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
60-P121345-01 (New York)
Definition
Definition to come...
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