Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 0101039616 | VA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 0101039616 | VA |
NPI | 1104897917 |
---|---|
Provider Name | Dr. Brian Torre |
First Address | Salem, VA 24153-7357 |
Second Address | Salem, VA 24153-7357 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2006 |
Last Update Date | 28/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006404651 | (05) | VA |
P00277185 | MEDICARE RAILROAD (01) | VA |