Individual
PEGGY TORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
315 W IDAHO ST, BLACKFOOT, ID 83221-1711
(208) 782-3990
(208) 782-3994
Mailing address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 782-3990
(208) 782-3994
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-8772
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010149456
REGENCE BLUE SHIELD
ID
01
—
268231
ALTIUS OLD
ID
01
—
313068
ALTIUS
ID
01
—
73924
BLUE CROSS OLD
ID
01
—
76962
BLUE CROSS
ID
05
—
806699000
—
ID
Enumeration date
05/03/2006
Last updated
04/30/2008
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