Organization
MSGA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN TORREZ (MANAGER, PRESIDENT)
(319) 290-7456
Entity
Organization
Contact information
Practice address
4150 KIMBALL AVE STE 130, WATERLOO, IA 50701-9086
(319) 235-5390
Mailing address
4150 KIMBALL AVE STE 130, WATERLOO, IA 50701-9086
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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