Individual
JOSEPH DEREK TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
262 LEROY GEORGE DR, CLYDE, NC 28721-7430
(828) 452-8353
Mailing address
262 LEROY GEORGE DR, CLYDE, NC 28721-7430
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
208118
NC
207P00000X
Emergency Medicine Physician
MD.206525
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2300121
—
LA
Enumeration date
04/05/2012
Last updated
09/01/2015
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