Organization
COLORADO PHYSIATRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK TORRES MD (DIRECTOR)
(504) 606-4568
Entity
Organization
Contact information
Practice address
4401 UNION ST, JOHNSTOWN, CO 80534-2800
(504) 606-4568
(818) 671-2225
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DR.0063199
MEDICAL BOARD OF COLORADO
CO
Enumeration date
01/07/2025
Last updated
02/11/2025
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