Healthcare Provider Details

I. General information

NPI: 1740242171
Provider Name (Legal Business Name): CLESSON TURNER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2006
Last Update Date: 01/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 WISCONSIN AVE WALTER REED NATIONAL MILITARY MEDICAL CENTER
BETHESDA MD
20889-0004
US

IV. Provider business mailing address

8901 WISCONSIN AVE WALTER REED NATIONAL MILITARY MEDICAL CENTER
BETHESDA MD
20889-0004
US

V. Phone/Fax

Practice location:
  • Phone: 301-400-1623
  • Fax:
Mailing address:
  • Phone: 301-400-1623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number042-0010267
License Number StateVT
# 2
Primary TaxonomyY
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License Number042-0010267
License Number StateVT
# 3
Primary TaxonomyN
Taxonomy Code207SG0203X
TaxonomyClinical Molecular Genetics Physician
License Number042-0010267
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: