Healthcare Provider Details
I. General information
NPI: 1639368665
Provider Name (Legal Business Name): FRANCIS M. TUROCY M.D.M, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/16/2007
Last Update Date: 10/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
755 BOARDMAN CANFIELD RD SUITE F5
YOUNGSTOWN OH
44512-4300
US
IV. Provider business mailing address
755 BOARDMAN CANFIELD RD SUITE F5
YOUNGSTOWN OH
44512-4300
US
V. Phone/Fax
- Phone: 330-726-3806
- Fax: 330-726-9450
- Phone: 330-726-3806
- Fax: 330-726-9450
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 35049373 |
| License Number State | OH |
VIII. Authorized Official
Name:
MICHAEL
B
EVAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 330-707-1425