Individual
JAIME L IBARROLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6750 E BAYWOOD AVE, SUITE 401, MESA, AZ 85206-1749
(480) 835-7111
(480) 969-9345
Mailing address
6750 E BAYWOOD AVE, SUITE 401, MESA, AZ 85206-1749
(480) 835-7111
(480) 835-6012
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
13055
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24938501
—
AZ
Enumeration date
09/30/2005
Last updated
01/06/2017
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