Individual
DR. RAYMOND IBARRA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 LEE HWY N, PULASKI, VA 24301-2326
(540) 994-8580
(540) 994-8183
Mailing address
2400 LEE HWY N, PULASKI, VA 24301-2326
(540) 994-8580
(540) 994-8183
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01012387950
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609034362
—
VA
Enumeration date
05/29/2008
Last updated
08/29/2016
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