Individual
DR. REYNALDO BAUTISTA TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 347-1341
Mailing address
3209 VIRGINIA AVE SE, CHARLESTON, WV 25304-1207
(304) 382-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
XXX
WV
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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