person
Gabriel Martin Ibarra, PA
Medical Physician Assistant in Canton, Mississippi
NPI 1518521145

Gabriel Martin Ibarra is a Medical Physician Assistant based in Canton, MS and is specialized in Medical. Gabriel Martin Ibarra practices in Canton, MS and has the professional credentials of PA. The NPI Number for Gabriel Martin Ibarra is 1518521145 and holds a License No. (Mississippi).

The current practice location address for Gabriel Martin Ibarra is 112 Southlake Cir, Canton, MS and can be reached out via phone at 601-859-8550 and via fax at 601-859-8556.

Location: 112 Southlake Cir, Canton, MS, 39046-5368
person
Provider Profile Details
NPI Number
1518521145
Provider Name
Gabriel Martin Ibarra
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
112 Southlake Cir, Canton, MS, 39046-5368
Phone Number
601-859-8550
Fax Number
601-859-8556
Provider Enumeration Date
04/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
112 Southlake Cir
City
State
Zip
39046-5368
Phone Number
601-859-8550
Fax Number
601-859-8556
person
Provider Business Mailing Address Details
Address
112 Southlake Cir
City
State
Zip
39046-5368
Phone Number
601-859-8550
Fax Number
601-859-8556
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
(Mississippi)
Definition
Definition to come...
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