NPI 1710961081

Pedro H Ibarra-Perocier, MD

Practitioner General Practice Physician Wagner, SD

Practice location

Address: 111 Washington Ave NW, Wagner, SD 57380-4300
Phone: (605) 384-3621
Fax: (605) 384-5229

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 14413 (PR)

Other General Practice providers in South Dakota →

Registry record

NPI: 1710961081
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Dec 2005
Record last updated: 24 Oct 2011

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.