# MIA DANIELLE DEBARROS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1467783597
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 26423 | NE | — |
| 208600000X | Surgery Physician | MD60666886 | WA | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | MD60666886 | WA | Yes |

## Other

- **Enumeration date:** 01/29/2010
- **Last updated:** 11/24/2023