Provider Demographics
NPI:1447232509
Name:TOROK, PETER GREGORY (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:GREGORY
Last Name:TOROK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:JAMES H. QUILLEN VETERANS AFFAIRS MEDICAL CENTER
Mailing Address - Street 2:SIDNEY AND LAMONT STREET
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:TN
Mailing Address - Zip Code:37684
Mailing Address - Country:US
Mailing Address - Phone:423-926-1171
Mailing Address - Fax:423-979-3522
Practice Address - Street 1:SIDNEY AND LAMONT STREET
Practice Address - Street 2:VA MEDICAL CENTER, BOX 4000
Practice Address - City:MOUNTAIN HOME
Practice Address - State:TN
Practice Address - Zip Code:37684
Practice Address - Country:US
Practice Address - Phone:423-979-3472
Practice Address - Fax:423-979-3528
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC9800156207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine