Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD200183 | LA |
N | 208600000X | Surgeon | MD200183 | LA |
Y | 2086S0129X | Vascular Surgeon | MD.200183 | LA |
NPI | 1104014620 |
---|---|
Provider Name | Bruce Seymour Torrance III |
First Address | New Orleans, LA 70121-2429 |
Second Address | Gretna, LA 70056-7127 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2007 |
Last Update Date | 22/10/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
09909367 | (05) | MS |
1063509 | (05) | LA |