MEDICARE: MR. WILLIAM A TURNER 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	208600000X	Surgery Physician	R4A30	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528064813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WILLIAM A TURNER MD

Provider Business Mailing Address
First Line	:	5 BIRCHCREEK LN
Second Line	:
City	:	NEVADA
State	:	MO
Zip	:	64772
Country	:	US
Telephone Number	:	417-667-8048
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 S ASH ST
Second Line	:
City	:	NEVADA
State	:	MO
Zip	:	64772
Country	:	US
Telephone Number	:	417-448-3644
Fax Number	:	417-448-3604

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

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	01/19/2011

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