Healthcare Provider Details

I. General information

NPI: 1043308083
Provider Name (Legal Business Name): ROSA ELIZABETH TURCIOS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 04/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2330 E MEYER BLVD STE T209
KANSAS CITY MO
64132-1132
US

IV. Provider business mailing address

1126 W STATE ST
MARSHFIELD WI
54449-1751
US

V. Phone/Fax

Practice location:
  • Phone: 816-235-3932
  • Fax: 877-285-6815
Mailing address:
  • Phone: 715-898-1067
  • Fax: 715-898-1067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number44672-020
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: