Individual
DR. CHRISTOPHER IBANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
700 HAWK RIDGE DR, HAMBURG, PA 19526-9219
(610) 562-3066
(610) 562-3125
Mailing address
5265 ROCKROSE LN BLDG E25, ALLENTOWN, PA 18104-8249
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OT018483
PA
Other
Enumeration date
06/02/2018
Last updated
12/31/2018
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