Organization
EMMA V TORRES BALTAZAR MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA VERGARA TORRES BALTAZAR MD (MD)
(360) 274-4179
Entity
Organization
Contact information
Practice address
606 SE ROAKE AVENUE, CASTLE ROCK, WA 98611
(360) 274-4179
Mailing address
606 SE ROAKE AVENUE, P.O. BOX 10, CASTLE ROCK, WA 98611
(360) 274-4179
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/26/2007
Last updated
04/02/2013
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