Individual provider · NPI-1

Juan Arango Ibanez

Emergency Medicine · Columbia, MO

NPI number1902789324
StatusActive
Last updated in NPPESJul 31, 2025

Details

NPI
1902789324
Entity type
Individual (NPI-1)
Name
Juan Arango Ibanez
Sex
Male
Sole proprietor
No
Enumeration date
Jul 31, 2025
Certification date
Jul 25, 2025
Last updated
Jul 31, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine2025026299MOYes

Practice location

1 Hospital Drive
Columbia, MO 65212

Phone 573-882-4141

Mailing address

5 Hospital Drive
Suite Ce707 / Dc029.10
Columbia, MO 65201

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