Doctor Name: | MARK DEAN TORRES AGUILING |
NPI Number: | 1043567100 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 1301 S Cliff Ave Ste 400 Sioux Falls, SD - 571051023 |
Business Phone Number: | 6053225750 |
Business Fax Number: | |
Mailing Address: | 2400 S Minnesota Ave., Ste. 100 SIOUX FALLS |
State: | SD |
Postal Code: | 571053762 |
Phone Number: | 6053227510 |
Fax Number: | |
NPI Enumeration Date: | 08/08/2012 |
NPI Last Update Date: | 11/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |