Individual
GONZALO E IBARRA MURRIETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1852 N MASTICK WAY, NOGALES, AZ 85621-1063
(520) 281-1550
(520) 281-2335
Mailing address
1852 N MASTICK WAY, NOGALES, AZ 85621-1063
(520) 281-1550
(520) 281-2335
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
44735
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
624948
—
AZ
Enumeration date
07/06/2011
Last updated
04/16/2012
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