Provider Demographics
NPI:1821083601
Name:TORRES, DENNY CARL (PA)
Entity Type:Individual
Prefix:MR
First Name:DENNY
Middle Name:CARL
Last Name:TORRES
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:5402 SW LEE BLVD
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505-9521
Mailing Address - Country:US
Mailing Address - Phone:580-531-0022
Mailing Address - Fax:580-531-0026
Practice Address - Street 1:5402 SW LEE BLVD
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505-9521
Practice Address - Country:US
Practice Address - Phone:580-531-0022
Practice Address - Fax:580-531-0026
Is Sole Proprietor?:No
Enumeration Date:2005-09-16
Last Update Date:2011-07-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK1141363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q25486Medicare UPIN