Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GABRIEL MARTIN IBARRA, PA
ActiveGABRIEL MARTIN IBARRA, PA is a Medical Physician Assistant healthcare provider located in CANTON, Mississippi. NPI 1518521145 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · CANTON, MS
Registration Details
- NPI Number
- 1518521145
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 29, 2019 (7.1072175611058 yrs)
- Last Updated
- Apr 29, 2019
Practice Information
- Address
-
112 SOUTHLAKE CIRCANTON, MS, 390465368Browse MS providers · Browse ZIP 39046
- Phone
- 6018598550
- Fax
- 6018598556
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.