Healthcare Provider Details

I. General information

NPI: 1790724680
Provider Name (Legal Business Name): BRIAN JAMES TUREMAN PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 02/07/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 FALLS AVE E SUITE 1301
TWIN FALLS ID
83301-3455
US

IV. Provider business mailing address

2200 NORTH MAYFAIR ROAD SUITE 200
WAUWATOSA WI
53226-2252
US

V. Phone/Fax

Practice location:
  • Phone: 208-732-0067
  • Fax: 208-732-3195
Mailing address:
  • Phone: 414-258-9511
  • Fax: 414-607-3946

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA562
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: