Individual
DR. JOHN L. TORQUATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
265 W. PRAIRIE AVE., HAYDEN, ID 83835-8442
(208) 772-7850
(208) 772-2313
Mailing address
265 W. PRAIRIE, HAYDEN, ID 83835-8442
(208) 772-7850
(208) 772-2313
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-7938
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8058948
—
ID
Enumeration date
05/20/2006
Last updated
08/26/2013
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