Individual
DR. JOHN IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 SHIELDS AVE, DAVIS, CA 95616-5270
(530) 752-2300
Mailing address
1112 EAGLE PL, DAVIS, CA 95616-5700
(530) 750-2299
(530) 750-2408
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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