Individual
DR. EUGENIO TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5409 AVENUE O, SUITE 112, FORT MADISON, IA 52627-9601
(319) 372-6530
(319) 376-1155
Mailing address
3012 TIMBERLANE DR, FORT MADISON, IA 52627-4704
(319) 372-5447
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
20242
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06021
BCBS IDENTIFIER
IA
05
—
1261057
—
IA
01
—
20242
STATE LICENSE #
IN
01
—
P00300572
RR MEDICARE
IA
Enumeration date
03/06/2007
Last updated
07/09/2007
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