person
Dr. Pedro H Ibarra-perocier, MD
General Practice Physician in Wagner, South Dakota
NPI 1710961081

Pedro H Ibarra-perocier is a General Practice Physician based in Wagner, SD. Pedro H Ibarra-perocier practices in Wagner, SD and has the professional credentials of MD. The NPI Number for Pedro H Ibarra-perocier is 1710961081 and holds a License No. 14413 (South Dakota).

The current practice location address for Pedro H Ibarra-perocier is 111 Washington Ave Nw, Wagner, SD and can be reached out via phone at 605-384-3621 and via fax at 605-384-5229. You can also correspond with Pedro H Ibarra-perocier through the mailing address at 111 WASHINGTON AVE NW, WAGNER, SD - 57380-4300 (mailing address contact number: 605-384-3621).

Location: 111 Washington Ave Nw, Wagner, SD, 57380-4300
person
Provider Profile Details
NPI Number
1710961081
Provider Name
Pedro H Ibarra-perocier
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
111 Washington Ave Nw, Wagner, SD, 57380-4300
Phone Number
605-384-3621
Fax Number
605-384-5229
Provider Enumeration Date
12/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3258 01 PR PREFERRED MEDICARE CHOICE
A468 01 PR FIRST MEDICAL
100284W 01 PR MEDICARE Y MUCHO MAS
1326066796 01 SD I.H.S. WAGNER
institution
Provider Business Practice Location Address Details
Address
111 Washington Ave Nw
City
State
Zip
57380-4300
Phone Number
605-384-3621
Fax Number
605-384-5229
person
Provider Business Mailing Address Details
Address
111 Washington Ave Nw
City
State
Zip
57380-4300
Phone Number
605-384-3621
Fax Number
605-384-5229
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
14413 ()
Definition
Definition to come...
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