Ibarra Murrieta, Gonzalo E
Ibarra Murrieta, Gonzalo E is an individual health care provider with primary practice located at 1852 N Mastick Way , Nogales AZ 85621-1063. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ibarra Murrieta, Gonzalo E can be contacted via phone (520) 281-1550.Contact Information
Primary practice address
1852 N Mastick Way
Nogales AZ 85621-1063
Phone: (520) 281-1550
Fax: (520) 281-2335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 44735 | Arizona |
Profile Details
| NPI number | 1437446812 |
|---|---|
| LBN Legal business name | Ibarra Murrieta, Gonzalo E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2011 |
| Last updated | Apr 16th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437446812 | NPPES |
| Arizona | MEDICAID | 624948 |
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