NPI 1518521145

Gabriel Martin Ibarra, PA

Practitioner Medical Physician Assistant Canton, MS

Practice location

Address: 112 Southlake Cir, Canton, MS 39046-5368
Phone: (601) 859-8550
Fax: (601) 859-8556

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X

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Registry record

NPI: 1518521145
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Apr 2019
Record last updated: 29 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.