Individual
MARY ELIZABETH BARINAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1115 B STREET, PLUMMER, ID 83851
(208) 686-1931
(208) 686-0242
Mailing address
21651 S LAKEVIEW DR, WORLEY, ID 83876-7615
(208) 667-1204
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M7054
ID
207Q00000X
Family Medicine Physician
MD00036315
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003583200
—
ID
Enumeration date
09/23/2005
Last updated
07/21/2011
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