Individual
JACK TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4401 UNION ST, JOHNSTOWN, CO 80534-2800
(970) 619-3400
(970) 278-9344
Mailing address
852 CLYDESDALE DR, WINDSOR, CO 80550-3851
(504) 606-4568
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
DR.0063199
CO
208D00000X
General Practice Physician
DR.0063199
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2014
Last updated
03/06/2025
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