Healthcare Provider Details

I. General information

NPI: 1013966795
Provider Name (Legal Business Name): ELIZABETH C TURGEON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 S KNIK GOOSE BAY RD
WASILLA AK
99654-8083
US

IV. Provider business mailing address

851 E WESTPOINT DR # B1-5
WASILLA AK
99654-7191
US

V. Phone/Fax

Practice location:
  • Phone: 907-631-7800
  • Fax:
Mailing address:
  • Phone: 907-357-5483
  • Fax: 907-357-5484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMEDS4174
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: