Individual
GUSTAVO BARRAZUETA
Active
Individual
GUSTAVO BARRAZUETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
264108
MA
207X00000X
Orthopaedic Surgery Physician
35.142413
OH
207X00000X
Orthopaedic Surgery Physician
Primary
MD2024-0466
NM
Other
Enumeration date
06/01/2015
Last updated
06/07/2024
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