Provider Demographics
NPI:1679773527
Name:IBARRA, MARIA FERNANDA (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:FERNANDA
Last Name:IBARRA
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Gender:F
Credentials:MD
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Mailing Address - Street 1:2401 GILLHAM RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-4619
Mailing Address - Country:US
Mailing Address - Phone:816-234-3686
Mailing Address - Fax:816-234-3082
Practice Address - Street 1:2401 GILLHAM ROAD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108
Practice Address - Country:US
Practice Address - Phone:816-234-3686
Practice Address - Fax:816-234-3082
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-19
Last Update Date:2010-09-29
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Provider Licenses
StateLicense IDTaxonomies
MO20100184302080P0216X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0216XAllopathic & Osteopathic PhysiciansPediatricsPediatric Rheumatology