Healthcare Provider Details

I. General information

NPI: 1982008702
Provider Name (Legal Business Name): TURNER FAMILY MEDICINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2014
Last Update Date: 12/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32063 N 73RD PL
SCOTTSDALE AZ
85266-1553
US

IV. Provider business mailing address

PO BOX 7387
TEMPE AZ
85281-0013
US

V. Phone/Fax

Practice location:
  • Phone: 480-874-7014
  • Fax: 480-874-7015
Mailing address:
  • Phone: 480-874-7014
  • Fax: 480-874-7015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number22397
License Number StateAZ

VIII. Authorized Official

Name: DR. KEVIN W TURNER
Title or Position: OWNER
Credential: M.D.
Phone: 480-544-3311