MEDICARE: DR. MARTHA M TURNER M.D.

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	208D00000X	General Practice Physician	020692	LA
2	208D00000X	General Practice Physician	9600A	WY

General Provider Information

NPI Number	:	1902809130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTHA M TURNER M.D.

Provider Business Mailing Address
First Line	:	1240 COLLEGE VIEW
Second Line	:
City	:	RIVERTON
State	:	WY
Zip	:	82501
Country	:	US
Telephone Number	:	307-856-1206
Fax Number	:	307-856-4259

Provider Business Practice Location Address
First Line	:	1240 COLLEGE VIEW
Second Line	:
City	:	RIVERTON
State	:	WY
Zip	:	82501
Country	:	US
Telephone Number	:	307-856-1206
Fax Number	:	307-856-4259

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	01/30/2025

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