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NPI Code Detail

MEDICARE: JUAN E TORUNO

MEDICARE: JUAN E TORUNO
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
1126800000XDental Assistant

General Provider Information

NPI Number : 1871945527
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUAN E TORUNO
Provider Business Mailing Address
First Line : 5047 VIRGINIA AVE
Second Line : BLDG 500
City : FORT LEONARD WOOD
State : MO
Zip : 65473-9126
Country : US
Telephone Number : 573-596-0408
Fax Number : 573-596-0314
Provider Business Practice Location Address
First Line : 5047 VIRGINIA AVE
Second Line : BLDG 500
City : FORT LEONARD WOOD
State : MO
Zip : 65473-9126
Country : US
Telephone Number : 573-596-0408
Fax Number : 573-596-0314
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2016
Last Update Date : 07/06/2016

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Directions to “ JUAN E TORUNO ” Practice Location

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