Individual
MR. JON IBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2929 CARLISLE ST, DALLAS, TX 75204-1084
(214) 954-7393
Mailing address
3917 BEST TRAIL, HAW RIVER, NC 27258
(336) 259-8174
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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