Individual
TORREY A. VAIL
Active
Individual
TORREY A. VAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
PA-457
ID
363AS0400X
Surgical Physician Assistant
Primary
PA10003341
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1665079
MEDICARE PTAN
ID
05
—
804123100
—
ID
05
—
8374779
—
WA
01
—
G8871065
MEDICARE PTAN
WA
01
—
G8878132
MEDICARE PTAN
WA
Enumeration date
07/19/2005
Last updated
12/19/2011
Update your record
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