Individual
DR. WALTER JAMES HIBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
491 N YUCCA ST US HIGHWAY, NORTHERN NAVAJO MEDICAL CENTER, SHIPROCK, NM 87420-0160
(505) 368-6001
(505) 368-6599
Mailing address
19847 HWY H, WESTON, MO 64098-9115
(816) 386-2659
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C5473
AR
207Q00000X
Family Medicine Physician
C5473
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49288067
—
CO
05
—
64200345
—
NM
05
—
836207
—
AZ
Enumeration date
08/07/2006
Last updated
04/23/2008
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