MEDICARE: DR. JAMES A TOROK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	5023	NV

General Provider Information

NPI Number	:	1083613400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES A TOROK MD

Provider Business Mailing Address
First Line	:	2345 E PRATER WAY
Second Line	:	#205
City	:	SPARKS
State	:	NV
Zip	:	89434-9600
Country	:	US
Telephone Number	:	775-331-2882
Fax Number	:	775-331-2976

Provider Business Practice Location Address
First Line	:	2345 E PRATER WAY
Second Line	:	#205
City	:	SPARKS
State	:	NV
Zip	:	89434-9600
Country	:	US
Telephone Number	:	775-331-2882
Fax Number	:	775-331-2976

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	07/08/2007

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