Provider Demographics
NPI:1306836119
Name:TORGERSON, VALERIE KAY (DO)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:KAY
Last Name:TORGERSON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:VALERIE
Other - Middle Name:KAY
Other - Last Name:MADISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 1475
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50305-1475
Mailing Address - Country:US
Mailing Address - Phone:515-643-0833
Mailing Address - Fax:515-643-0933
Practice Address - Street 1:1350 DES MOINES ST STE 110
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-5507
Practice Address - Country:US
Practice Address - Phone:515-643-0833
Practice Address - Fax:515-643-0933
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA02943207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1142349Medicaid
IAI0518Medicare PIN