Individual
JOHN ISIDRO IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-3260
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60707440
WA
208M00000X
Hospitalist Physician
MD25839
ME
208M00000X
Hospitalist Physician
MD60707440
WA
208M00000X
Hospitalist Physician
P2009
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125718-01
—
AZ
Enumeration date
08/12/2006
Last updated
08/20/2024
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