Individual
MARY C BARRAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 SUZIE LN, ATTICA, IN 47918-2009
(765) 762-6789
(765) 762-6766
Mailing address
101 SUZIE LN, ATTICA, IN 47918-2009
(765) 762-6789
(765) 762-6766
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01092440A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0179526
—
OH
05
—
7100614920
—
KY
Enumeration date
04/04/2016
Last updated
02/27/2025
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