Provider Demographics
NPI:1245217421
Name:TORSON, REGINA A (MD)
Entity Type:Individual
Prefix:
First Name:REGINA
Middle Name:A
Last Name:TORSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1095 N CENTER POINT RD
Mailing Address - Street 2:
Mailing Address - City:HIAWATHA
Mailing Address - State:IA
Mailing Address - Zip Code:52233-1231
Mailing Address - Country:US
Mailing Address - Phone:319-369-7914
Mailing Address - Fax:319-369-8726
Practice Address - Street 1:1095 N CENTER POINT RD
Practice Address - Street 2:
Practice Address - City:HIAWATHA
Practice Address - State:IA
Practice Address - Zip Code:52233-1231
Practice Address - Country:US
Practice Address - Phone:319-369-7914
Practice Address - Fax:319-369-8726
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA32632207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA080151044OtherRR MEDICARE
IA1245217421Medicaid
IA5154054Medicaid
IA4154054Medicaid
IAG60539Medicare UPIN
IA5154054Medicaid